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Private Hypnobabies Class Series Request Form
Please answer the following questions. They will help me get to know you and will give me the information I need to contact you about scheduling and registration for your class series.
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What is your name?
*
Your answer
What is your birth partner's name?
*
Your answer
When is your baby due?
*
MM
/
DD
/
YYYY
What is your email address?
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Your answer
What is a good phone number for me to reach you?
*
Your answer
Which days of the week and times of day are best for you for a private class series? (Each class is 3-3 1/2 hours long, including breaks.)
*
Your answer
Do you have any questions or concerns about Hypnobabies?
Your answer
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