Childbirth Knowledge Application

I believe that every mama deserves to be educated and informed. When I partnered with children's connection it made supporting every mama possible. Please answer the following questions to submit your application for pro bono birth/breastfeeding knowledge. I will be in contact with you within the week!
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Name (First, Last) *
Phone Number: *
Estimated Due Date (EDD): *
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DD
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I am interested in:  *
Required
You must live in Texas to be eligible for free virtual education. Where do you live? (City, state, zip code)
 *
Classes are often 2 hours long per session. What days and time is generally best for you? Please provide three days and times! *
Why are you seeking out knowledge? *
What are you looking to gain from educational sessions? *
How will free or low cost birth/breastfeeding knowledge benefit you? *
What (if any) concerns do you have about pregnancy, labor or postpartum?
 *
Where are you planning to deliver? *
I am a: *
Thank you!
Thank you for taking the time out of your day to fill out this brief form. As mentioned above I will be in contact with you within a week. I also understand how hard and vulnerable it can be to ask for help, but I want you to know I am here to help and you always have a safe place to be vulnerable and transparent with me!  
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