Parent Registration
You can register and pay your deposit for classes in Salinas, Carmel, Monterey, or Santa Cruz using the form below. Once registered you'll receive an email with suggested reading material and videos for you and your partner to get started on before classes begin. If you have any questions, please don't hesitate to contact me, corilynngentry@gmail.com or 831.484.4358.
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Date of Desired Class
Pregnant Person's Name:
Pregnant Person's Email:
Preferred Family Name (Mom or alternative):
Preferred Nickname and/or Pronouns:
Partner's Name:
Preferred Nickname and/or Pronouns:
Preferred Family Name (Dad, Mom or alternative):
Partner's Email:
Address (Street, City, Zip)
Phone Number:
Age:
Estimated Due Date:
Expecting:
Number of children:
What have your previous births been like?
Where are you planning on having your baby?
Who is your midwife or doctor?
How did you hear about Birth Chemistry?
What are your hopes for your birth?
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