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Childbirth Education Registration Form - Bliss Families
Birth Boot Camp Registration Form
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Email
*
Your email
All classes taught by: Shannon Wright LMT, BBCI, BBCD
Owner - The Wright Spot, Massage Therapy & Childbirth Education
Pregnant person's name
*
Your answer
Partners name
*
Your answer
Phone Number (to receive updates about classes)
*
Your answer
Estimated Due Date
*
MM
/
DD
/
YYYY
Who is your care provider?
*
Your answer
How did you hear about these classes?
*
Your answer
Anything else you want me to know or want/need to talk about?
*
Your answer
Which Monthly Class would you like to register for?
*
January
February
March
April
May
June
July
August
September
October
November
December
Weekend Express Class (Best suited for 2nd time parents/late transfers without time for a complete series)
PRIVATE CLASS **must contact us for setup prior to registering**
*REGISTER NOW*
-For credit or debit card: Select Deposit below and you'll be redirected to a payment page
-For Zelle: select "Other" and send payment via Zelle to thewrightspottx@gmail.com
*
Deposit $100
Other:
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