Hypnobabies Group Class Interest Form
Please fill out this form so that I can get in touch with you about a Hypnobabies group class, answer your questions, give you some more information, and begin the registration process for class (if you choose to participate).  Thank you!
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What is your name? *
What is your birth partner's name? (spouse, partner, doula, friend, etc. who will be attending class with you.) *
When is your baby due? *
MM
/
DD
/
YYYY
Where are you planning to give birth? *
Which class series are you interested in? (Choose at least one.) *
Required
What is a good phone number for me to use to get in touch with you? *
What is your email address? *
Do you have any questions or concerns about Hypnobabies classes?
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