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registration

Please complete the below form to reserve your place in the childbirth education course, as it is limited to 10-12 couples. Please pre-pay for the course by transfer (put in memo: Childbirth Course) to Cristin Tighe 363-0477899-20. If you need to miss one class, you are welcome to send a friend in your place or bring a friend to another class. If you have questions, please email Cristin.

* Required fields
Name *
E-mail Address *
Name of Birth Partner *
Relationship to you *
Telephone # (best to reach you) *
Telephone # (other) *
Due Date *
Is it your first child? *
What do you hope to get from the course? *
Are their specific topics you want us to cover? *
Have you decided where you are giving birth? If so, please share. *
Is there anything else you would like to share with us?

I have read and agree to the Privacy Policy *

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 Educating and empowering mothers, starting in pregnancy, is a significant way to create a peaceful world for our children!

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