Better Beginnings Childbirth Class: Spring '20
Building Blocks for Birth - Comprehensive Childbirth Preparation Course
Event Timing: Online Meetings April 5, April 19, May 3: 7p-8p
                         In Person Meetings April 9, April 23, May 7: 6p-9p
Event Address: Online using Zoom Video
                            In-Person at 10208 Saracennia Road, Moss Point, MS
Contact Bianca at 228-233-0686 or bianca@betterbeginningsms.com
Sign in to Google to save your progress. Learn more
Registration Type *
How will you pay? *
Your Name *
2nd attendee and relationship to you
3rd attendee and relationship to you
Your Phone Number *
Your email *
You Mailing Address
Preferred Communication Methods *
Required
The class includes two books, "Giving Birth With Confidence" and "The Womanly Art of Breastfeeding."  How would you prefer to receive these books? *
Have you hired a doula?  If so, who? *
Baby's Best Guess Date (EDD) *
Baby's Sex *
Name of your OB and/or Midwife *
Planned Birth Location (if hospital, which one?) *
Please tell me a little about your previous pregnancies and births.  How old are your children?  Have you had any miscarriages? *
What do you hope to get from this class? *
What is your biggest fear related to pregnancy and birth? *
What challenges do you foresee with breastfeeding, if any? *
Please share any emotional or physical challenges you have had during this pregnancy? *
Of course, things change.  But, at this time, how do you hope/plan that this birth will happen?  Are you wanting a "natural" birth?  If so, what does that mean to you? *
Anything else you want to tell me?
How did you hear about the class? *
Do you follow us on social media?
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Better Beginnings. Report Abuse
Google Forms