4TFM class registration
Instructor: Kristen Young, MBA, EdS, ICBD, 4TFM kristen@youngbirth.com (865)-202-2545
Name
*
First Name
Last Name
Partner's Name (if registering for Prep4Partner™)
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Cell for texts
*
E-mail
*
example@example.com
For Prep4Birth™ and Prep4Partner™, when is your due date and where are you having your baby?
*
Due Date
Where are you having your baby?
Whom may I thank for referring you to my classes?
Is there anything specific you would like for me to know? (i.e. any birth or pregnancy related experience or hope/fear that you would like for me to know prior to having you in class)
Waiver
I understand that physical exercise can be strenuous and there is inherent risk in participating in any exercise program. I agree to assume those risks personally and hereby release 4th Trimester Fitness® LLC, its members, managers, employees, agents, representatives and instructors (the “Released Parties”) from any and all claims or liability, loss or expense for any injury or discomfort I or my baby may sustain as a result of my participation in this program. I understand that I am not required to participate in any or all of the body movements demonstrated by the 4th Trimester Fitness® LLC instructor, and that nothing we do in class should ever be painful. I represent that I have consulted with my physician before participating in this activity. I understand that this is a group fitness class, that the Released Parties are not providing physical therapy or medical services, advice or treatment, and that the Released Parties are not acting as my physician, physical therapist, or one-on-one personal trainer. I give permission for photographs taken of me while participating in the class to be used in social media and marketing/public relations materials in the promotion of 4th Trimester Fitness® LLC and its classes. At any time during class, I can let the instructor know that I prefer not to be photographed.
Your Signature
*
Your Support Partner's Signature
*
Categories:
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All
Prep4Birth™
Prep4Partner™
Birth Prep Bundle
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Prep4Birth™
Prep4Birth™ February 15th 2 pm - 5 pm
Held in Maryville, TN
$
150.00
Prep4Birth™ May 17th 2 pm - 5 pm
Held in Maryville, TN
$
150.00
Prep4Birth™ August 30th 2 pm - 5 pm
Held in Maryville, TN
$
150.00
Prep4Birth™ November 15th 2 pm - 5 pm
Held in Maryville, TN
$
150.00
Prep4Birth™ Gift Card
A gift for your pregnant friend or family member! To be used within 9 months of purchase.
$
150.00
Prep4Birth™ Private Class
A private class (1-2 couples), held at a location/date/time of mutual convenience. Expires 9 months from date of purchase.
$
450.00
Prep4Partner™
Prep4Partner™ February 8th 1-5 pm
Held in Maryville, TN
$
200.00
Prep4Partner™ March 15th 1-5 pm
Held in Maryville, TN
$
200.00
Prep4Partner™ April 19th 1-5 pm
Held in Maryville, TN
$
200.00
Prep4Partner™ June 21st 1-5 pm
Held in Maryville, TN
$
200.00
Prep4Partner™ July 12th 1-5 pm
Held in Maryville, TN
$
200.00
Prep4Partner™ September 13th 1-5 pm
Held in Maryville, TN
$
200.00
Prep4Partner™ October 25th 1-5 pm
Held in Maryville, TN
$
200.00
Prep4Partner™ December 6th 1-5 pm
Held in Maryville, TN
$
200.00
Prep4Partner™ Gift Card
A gift for your pregnant friend or family member! To be used within 9 months of purchase.
$
200.00
Prep4Partner™ Private Class
A private class (1-2 couples), held at a location/date/time of mutual convenience. Expires 9 months from date of purchase.
$
500.00
Birth Prep Bundle
Birth Prep Bundle (Prep4Birth™ + Prep4Partner™)
This bundle supports both the birthing person and their partner--because preparation works best when everyone speaks the same language.
$
325.00
*If purchasing the Birth Prep Bundle, please indicate which dates you will be attending each class. Thank you!
Payment Methods
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