Full Name
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First Name
Last Name
Contact Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
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example@example.com
Address
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Street Address
Street Address Line 2
City
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What is your estimated due date?
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Month
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Day
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2 digit month, 2 digit day, 4 digit year
Date
What class are you registering for?
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HypnoBirthing Group Sundays at 5:00pm
Quick and Dirty (2nd Thursday at 12:00 PM or 4th Saturday at 10:00 AM) $150
Lamaze (Private Class, three 2.5 hour sessions) $375
Spinning Babies (Private Class) $150
Private HypnoBirthing Class (four 3 hour sessions) $500
Breastfeeding Basics (Private Class) $150
What date and time work best for your class (if not included in class selection)?
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If your private class type indicates two or more sessions, indicate preferred time/date for additional sessions below:
Quick and Dirty Childbirth Education
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