4TFM Class Registration
Instructor: Rebecca McKinney ~ doulabecca@gmail.com ~ 904-624-4802
Welcome to A Hand to Hold and 4TFM Classes! You're gonna love these classes and I can't wait to meet you!
Let me know if you have any trouble with the payment process.
Choose your class(es)
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Prep4Birth Sunday March 9 2-5
A class designed specifically for pregnant individuals to effectively use birth balls, peanut balls, and CUBs (Comfortable Upright Birth) to enhance physical and mental preparation for labor and birth. Held at Vital Motion Holistic Therapies, 1886 S 14th St, Fernandina Beach, FL 32034
$
150.00
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Prep4Partner Sunday April 13 2-5
A class for couples to be ready for birth. Unmedicated or epidural birth prep. Held at Vital Motion Holsitic Therapies, 1886 S 14th St, Fernandina Beach, FL 32034
$
150.00
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Postpartum Recovery DATE TBA
A class is designed for early postpartum moms and their babies, focusing on physical recovery exercises and essential education on pelvic and core health. Held at Vital Motion Holsitic Therapies, 1886 S 14th St, Fernandina Beach, FL 32034
$
150.00
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Your Name
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First Name
Last Name
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
*
example@example.com
Cell for texts regarding class info
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Additional Comments
For Birth Ball Basics™ or Prep4Partner™, when is your due date?
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Month
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Day
Year
Due Date
For Birth Ball Basics™ or Prep4Partner™, where are you having your baby?
For Prep4Partner: What is your partner's name?
First Name
Last Name
For Prep4Partner, what is your partner's E-mail
example@example.com
For Postpartum Recovery®, what is your baby's name and DOB?
Baby's Name
DOB
Whom may I thank for referring you to my classes?
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Anything specific that you would like for me to know? Did you have a vaginal or cesarean birth? Perineal tearing or other birth related experience that you want me to know about?
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 or childbirth education 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 and my baby 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
*
Partner's signature, if attending Prep4Partner
Payment Methods
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