Preparing for Birth and Postpartum Classes Request Form
Hey there!  If you are interested in booking in-person or virtual Childbirth Education Classes for you and your partner, please fill in this form and I will get back to you asap.  Thanks!  ~ Jess Kuypers, Birth and Breastfeeding
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Email *
Name *
Phone Number *
Address *
Partner's Name
Due Date *
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/
DD
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YYYY
How would you like to complete this class: *
When and where would you prefer to complete this class (Check all that apply): *
Required
How did you hear about this class? *
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