HypnoBirthing Course Registration Form

HypnoBirthing Childbirth Education Registration Form

Thank you for your interest in HypnoBirthing classes! Please fill out this form and submit payment to register. I will be in touch soon after! I’m excited to get to know you! Feel free to reach out to me with any questions. All the best, Cortney 13andfinn@gmail.com
Your Name*

First NameLast NameHow should I refer to you? Ex. she/her, they/ them, mom, birthing person, gestational carrier.
Birth Companion’s Name (if applicable)

First NameLast name How should I refer to your birth companion Ex. He/him, they/them, dad, grandma, boyfriend, etc
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Your E-mail*
example@example.com
Birth companion’s E-mail
example@example.com
Your Phone Number*
Birth Companion’s Phone Number
Estimated Due Date*
Would you like to know more about doula support? *
Please share about your pregnancy, birth preferences, and hopes for this class:*
Which session will you be attending?

Virtual group HypnoBirthing, Sunday- September 28- October 26, 3:00-5:30 pm, $300In person group HypnoBirthing, Mondays- November 17- December 15, 6:15-8:45pm, $300, Steadfasf chiropractic in HilliardIn persons Private HypnoBirthing, $600, contact to schedule dates
Add on an additional “Baby Basics” Class: (Includes diapering, baby wearing, bottle feeding, infant soothing, bathing, sleep, chat from local infant experts) Class held at same time/ location as main session last 2 hours unless otherwise noted.

Wednesday, December 10, 6:15-8:15pm, $40
Payment method:*
Payment due in full at registration. Payment plans available. Contact 13andfinn@gmail.com
How did you hear about class?*
All classes will be held weekly at 6:15pm in individually identified locations based on the session. Sessions will rotate between locations in Clintonville, Grandview Heights, Bexley, Dublin, and Polaris area.
Thirteen & Finn reserves the right to refuse classes to anyone or cancel sessions at any time (low enrollment, family emergency, etc). Full refunds will be given or credits towards doula support or a future class. Classes may be postponed if a doula client of Thirteen & Finn is in labor. Class will be rescheduled for a time that works for the group. Thirteen & Finn reserves the right to move in person class to virtual due to Covid 19 concerns. Refunds will not be given once the session starts except the the case of a loss. HypnoBirthing clients are offered a discount on doula support.
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HypnoBirthing Childbirth Education Registration Form