Hypnobirthing Registration Form

Hypnobirthing with Stacey Astley-Clark

"I cannot recommend this course enough! The best thing we decided to do in pregnancy. Stacey delivered the course in an engaging, caring and relatable way. It's full of evidence based statistics, and reminds us what our bodies are designed to do." - Katie Greenwood (Hypnobirthing Mum)
Thanks for choosing BirthStrong for your birth preparation. I’d like to get to know you a bit better before we meet, so please complete this quick form.
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Birth Partner's name

First NameLast Name
When is your baby's estimated arrival date?

MonthDayYear
Date
Where are you planning to give birth?
What are your reasons for choosing this course?
Do you have any fears or concerns about giving birth?
Is there anything else you'd like to share?
How did you hear about BirthStrong?

Poster/flyerHypnobirthing Australia websiteGoogle searchSocial mediaWord of mouthOther
Please select your preferred date:

IN- PERSON (October 26 & November 2)LIVE ONLINE (Nov 22, Nov 29, Dec 6 & Dec 13)LIVE ONLINE (Jan 18, 25 & Feb 1 & 8)PRIVATE COURSE

Payment*

IN PERSON Hypnobirthing Course 2 x Full Days

$600.00AUD

LIVE ONLINE Hypnobirthing Course 4 x Sunday Morning Classes

$500.00AUD

Private Hypnobirthing Course 2 x Full Days or 4 x Half Days

$1,000.00AUD

$150 deposit (to pay in instalments)

$150.00AUD

Bank Transfer/Cash Payment

$ FreeAUD Quantity

Total

$0.00AUD

Hypnobirthing with Stacey Astley-Clark