Together In Birth Registration Form

Together in Birth Registration Form

Once you have submitted this form and made payment, you will be enrolled onto our e-learning platform (within 1 working day) and for the in-person workshop you've indicated.
Name of Birthing Parent*

First NameLast Name
Name of Birthing Partner*

First NameLast Name
E-mail*
example@example.com
Whatsapp Phone Number*

Phone Number
Share with us the guessdate for baby's arrival? *

MonthDayYear
Date
Is this your first pregnancy? If no, please share more details. *
Please tell us which in-person Spinning Babies Birth Preparation Class @ MAIA HOUSE will you be signing up for?*

18 January, Saturday, 1pm - 4:30pm1 March, Saturday, 1pm - 4:30pmI’ll decide when the other dates are out
To secure your spot please make payment of $700 to Maia House Pte Ltd (UEN202417829R) or scan the QR code below:
Please upload a screenshot of your payment here!*

Cancelof
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Together in Birth Registration Form