Alicia's Calmbirth Course Booking Form
Weekend courses with Registered Calmbirth Educator, Alicia Ferguson.  If you would prefer to speak to me my telephone number is 027 305 4676. Full Course cost is $475, early bird discounted to $425 (if paid in full 4 weeks before course start). Please note that bookings are only confirmed once the $100 minimum deposit payment is received.

Log in bij Google om je voortgang op te slaan. Meer informatie
E-mailadres *
Pregnant Woman's Full Name *
Baby's Expected Due Date *
MM
/
DD
/
JJJJ
Home address *
Mobile Telephone *
Which Calmbirth Course are you interested in booking on to? Please indicate month and year... *
If it says FULLY BOOKED on the main website, please do contact me to show your interest as very occasionally I am able to put on an extra course to accommodate those on the wait list, or sometimes another educator from Auckland can come down to take another course.
Who is your Lead Maternity Carer (e.g. your Midwife's or Obstetrican's name)? *
How did you hear about the Calmbirth Course? *
You can tick more than one....
Verplicht
Volgende
Formulier wissen
Verzend nooit wachtwoorden via Google Formulieren.
Deze content is niet gemaakt of goedgekeurd door Google. Misbruik rapporteren - Servicevoorwaarden - Privacybeleid
Google Formulieren