Childbirth Education Class Registration

Childbirth Education Class Registration

Please fill out your details to register for the class and follow the payment instructions to complete your registration.
Participant Full Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Estimated Due Date

MonthDayYear
Date
Husband/Support Person Name

First NameLast Name
Class Date Selection
If selecting private class - we will reach out to you for scheduling upon recieving your registration fee.
Please share what kind of birth you are planning/hoping for:
Special Questions or Concerns
How did hear about our class?
Payment Instructions:
Please complete your registration by submitting payment for the class via our secure Square payment page.
Click here to make your payment.
Your spot is reserved once payment is completed.

If you to prefer to pay via Venmo that option is available. Please send payment to @JoysofBirth once you have sumbitted this form.
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