Bump to Baby + Beyond Childbirth Education (Self-Paced) Course
Please complete your registration by filling out the form below. You will be redirected to PayPal for payment. This form is for the self-paced class only. If you are seeking IN-PERSON classes, please contact me.
Full Name
*
First Name
Last Name
Partner's Name
First Name
E-mail
*
example@example.com
Estimated Due Date
*
-
Month
-
Day
Year
Date
City & State of Home Address
*
City, State
Which class are you registering for?
*
Please Select
self-paced option
The self-paced option allows families to work through four, three-hour modules at your own pace and complete the homework when it suits you best. Upon completion of the class, you will have the option to schedule a 30 minute private zoom call with me to discuss your birth plan and answer any additional questions you may have.
I am having a...
Please Select
Baby Girl!
Baby Boy!
It's a surprise!
Multiples!
What number birth is this for you?
Prior birth experience:
Please indicate if you have any prior birth stories, if they were vaginal or cesarean, if you are planning for a VBAC, or any other birth information you think would be helpful for me to know.
I plan to birth my baby...
*
Please Select
At Home
At a Birthing Center
At a Hospital
I haven't decided yet!
Are you working with a birth doula?
*
Yes
No
Undecided at this time
If you are local to DC/Maryland/Virginia, which hospital or birth center are you birthing at?
If you are local to DC/Maryland/Virginia, who is your provider?
My top goals for taking this course are...
*
Feel free to share as much as you would like! The more I know about what you know or think about birth, the better I can tailor our class to meet your expectations!
I am most excited to be a parent because...
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What are you looking forward to most? Meeting your baby for the first time? Feeding your baby? Showing your baby how to do new things? Whatever is on your heart!
My biggest fears about childbirth and/or postpartum are...
*
Part of the mental and emotional preparation of birth is to acknowledge any fears or concerns we hold prior to the birthing time. This helps in identifying any mental blocks so that we can address them with facts and evidence-based information, and minimize fear or confusion during the birthing time, cultivating a calm environment with confident, competent parents.
Books I've read or plan to read related to pregnancy, birth, breastfeeding, or postpartum:
*
Feel free to include podcasts, audiobooks, or documentaries you've watched as well! It's okay to say "none!"
My Products
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Full Series Childbirth Education Class
$
350.00
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
Let's do this! Register now!
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