Birth Plans Made Simple
A Complimentary Virtual Workshop hosted by Brittani Medina, Birth & Postpartum Doula
Thank you for your interest! This workshop is designed to help you understand birth plans, explore your options and feel more prepared for your upcoming birth. Please complete the registration form below.
Full Name
First Name
Last Name
Contact Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
example@example.com
Pregnancy Information
How many weeks pregnant are you?
Please Select
Less than 8 weeks
8 to 11 weeks
12 to 15 weeks
16 to 19 weeks
20 to 23 weeks
24 to 27 weeks
28 to 31 weeks
32 to 35 weeks
36 to 39 weeks
40+ weeks
Baby has already arrived
Planning for future pregnancies
What is your estimated due date?
-
Month
-
Day
Year
Date
Is this your first baby?
Yes
No
Are you attending with a partner or support person?
Yes
No
Not sure yet
Birth Preferences
Where are you planning to give birth?
Hospital
Birth Center
Home
Still deciding
Have you started creating a birth plan?
Yes
Not yet
I've started but need help
Learning About You
What are you hoping to learn during this workshop?
What is your biggest concern or question?
About Your Support
Do you currently have a doula?
Yes
No
I'm looking for one
I'm unsure if I want one
How did you hear about this FREE Birth Plan Workshop?
Instagram
Friend/Family
Google
Healthcare Provider
Loveofyemaya.com
Other
Stay Connected
Would you like to receive future pregnancy resources, workshops and updates?
Yes
No
If you could leave this workshop feeling more confident about one thing, what would it be?
Submit
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