Mother Daughter Menstrual Class Registration Form

Complete this form now!!! (Next Class Date Release is Coming Soon)

This class is in HIGH demand and SOLD OUT for the previous class date (Summer 2024).

***Fill out this form to be first to know about the next class date (likely Spring 2025) and receive upcoming special discounts.***
Notification opt-in request.*

Yes, send me future discount information and notify me of the next class date once it is set.Only notify me of the next class date once it is set.
"Crimson Tide: Crucial Conversations on Puberty and the Menstrual Cycle"

For Mothers & Daughters

NEW CLASS DATE: June 26, 2025 5:15 to 7:15 pm (Monday) in Sugar Land, TX

Registration includes hands-on class & dinner.

(Location details will be provided prior to class date)

This class is in HIGH demand and SOLD OUT for the previous class date.
Mother's Name*

First NameLast Name
Mother's E-mail*
example@example.com
Mother's Phone Number*
How have you prepared your daughter(s) for her changing body? *
Has your daughter started menstruating?*

YesNo
Will more than 1 daughter attend the class?*

YesNo
Daughter 1 Name*

First NameLast Name
Daughter 2 Name

First NameLast Name
Daughter 3 Name

First NameLast Name
Daughter 4 Name

First NameLast Name
How did you hear about this class? Select all that apply.*

FriendPediatricianOnline AdSocial MediaWebsiteOther
Please list any food allergies:
Select your registration (payment link will be sent when form is completed):

1 Mother-Daughter pair1 Mother 2 Daughters1 Mother 3 Daughters1 Mother 4 Daughters
I understand my registration is not complete until I finalize the payment (link will be sent to your email address upon completion of this form)

Yes, I understand.
Should be Empty: