Express Childbirth Class Registration

Express Childbirth Class Registration

This class is a one-day class for those birthing in hospital or birthing center. It is recommended to take this class during the third trimester between 28-36 weeks. Investment: $150 You will receive an email with class details approximately two-three days prior to the selected class date. Please reach out to Kelsie (405) 567-5114 with any questions.
Your name

First NameLast Name
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Estimated Due Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Sponsor Social Security Number (Complete this field if you are requesting that the class fee be billed to Tricare under the Childbirth and Breastfeeding Support Demonstration.)
Doctor / Midwife's Name
Planned place of birth
MEMORIAL, DRH, WFBWC, OU, home, etc.
Email
example@example.com
Phone Number
Format: (000) 000-0000.
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Your registration includes one additional seat for a non-pregnant support person (Ex. spouse, partner, friend, parent, etc.) that will be at your labor / delivery. Will you be bringing someone with you to class?
If you answered yes or maybe, please fill their name and role in the field below.
Did someone refer you to take an Express Childbirth Class with Kelsie Terry Birth Services, LLC?
If yes, please share their name.
REFUND POLICY
The class fee is non-refundable once payment is complete. Due to limited space and availability, refunds will not be issued for missed classes. If Kelsie Terry Birth Services, LLC must reschedule a class due to attending a client’s birth, illness, or unforeseen circumstances, the class will be rescheduled. If your baby is born before the scheduled (or rescheduled) class, you may request a full refund with proof of delivery. Please carefully review the class date/time to ensure your availability before registering and submitting payment.
The fee for this class is $150. You will receive a handout of educational materials during class.

The fee may be covered by Tricare under the Childbirth and Breastfeeding Support Demonstration. Please inquire with Kelsie to check your benefits & eligibility for a coupon code to waive the fee.
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Express Birth Class

$150.00

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By typing your name in the field below as signature and completing payment, you acknowledge and agree to the above mentioned refund policy.
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Express Childbirth Class Registration

REFUND POLICY

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