Carly Buxton (Nessle) - Class Interest/Waiting List

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Thank you for your interest in attending one of my Nessle courses. I'm currently building cohorts for these courses. Please note that all "in-person" options will be socially distanced, observing all CDC-recommended protocols, until further notice. Feel free to e-mail me at carly@nessle.co with any additional questions. I will reach out when we establish dates/times.

Your name *

Your best email *

In what city are you located? *

For which group class(es) would you like to join the interest list? Select all that apply.

Breastfeeding in Real Life (live-streaming, online)

Breastfeeding in Real Life (in-person in Richmond, Virginia)

Postpartum in Real Life: The First Seven Days (life-streaming, online)

Postpartum in Real Life: The First Seven Days (in-person in Richmond, Virginia)

In general, what times of day / days of the week would work best for you to attend a 2-hour learning event? (Select all that apply)

Weekday, during business hours

Weekday, in the evenings

Saturday, morning

Saturday, mid-day/afternoon

Sunday, mid-day/afternoon

Other:

Would you be interested in learning more about a scholarship for lower income families, to cover the cost of attending this class?

Yes

I would like to donate to cover part of someone else's tuition.

Do you have any additional comments to share?

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms