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Comfort Measures & Stages of Labor
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Full Name
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Partner Name
Your answer
Will your partner be joining you for class? (It is highly recommended that you bring a partner to this class)
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Yes
No
Email address
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Phone number (for texting in case of a cancellation)
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EDD
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Where do you plan to give birth?
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Hospital
Homebirth
Birth Center
What are you hoping to get out of this class?
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Your answer
Do you have a Doula?
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Yes
No, Not planning on getting one
Not Yet- Could use some recommendations
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Have you take a childbirth class in the past?
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No
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I understand there is $50 non-refundable deposit that will be applied to the class fee, reserving my spot in the class.
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Yes, I will pay via Venmo @Anissa-Cornelius
Yes, I will pay via Cash App $AnissaCornelius
Yes, I will send a check payable to Little Star Birth Services SD
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