Basic Training - Birth in a Day Registration Form
Hello! I look forward to having you in class! Classes are taught in American Fork on Saturdays once a month and lunch is included! Please complete this form and I will be in touch with you within 24 hours to complete the final steps of your registration. Feel free to contact me if you have any questions. Thank you!
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Mom's First & Last Name
Partner's First & Last Name
Full Address
Email
Phone Number
Preferred Method of Contact
Mom's Age
Estimated Due Date
MM
/
DD
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Where are you planning to have your baby?
Who is your care provider?
How do you feel about taking a childbirth class?
How does your partner feel about taking a childbirth class?
What do you hope to learn during class?
Which class would you like to register for?
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How did you hear about Birth Boot Camp?
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