Wufoo

Basic Information About You
Name First Last
Mother's
First baby Second or beyond
Email *
Mailing Address
Phone * ### - ### - ####
Name of Birthing Companion (spouse, partner, other)
Birthing Companion Phone ### - ### - ####
Plan B Class

This optional 8th session covers medical interventions. Although we encourage positive visualization and self-advocacy to navigate any turn your labor may take, some couples prefer to be familiar with possible detours from natural birth.

Please note: the cost for this class is $30 -- space limitations mean enrollment in this class is limited and will fill on a first-come basis, prepaid registration required. As classes fill they will be removed from this form.
To opt in to the Plan B Class for an additional $30 fee, select a class option:
Saturday afternoon, September 30, 12:00-2:30
HypnoMothering Class

This class is included in HypnoBirthing tuition and is for women only, designed to help ease the transition in the first year of motherhood. Select class time following your baby's expected birthday).
Please select a HypnoMothering class option: *
Saturday afternoon, October 21, 1-3 pm Saturday afternoon, January 20, 1-3 pm Please contact me about future classes as they're announced (about every 3 months)
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