Childbirth Class Registration Form

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This form is to register for April Francom's available Birth Boot Camp childbirth classes. Once you have registered, I will contact you. A $50 deposit is due to reserve your spot in class. Please use one of the links at the bottom of this form. There are both PayPal and Venmo links. If you have any questions, please email me at birthwithapril@gmail.com or text at 817-692-1014. I would love to chat with you!

Mom's Name *

Partner's Name, if applicable

Email address *

Phone number *

Mailing Address - Street, City, State, Zip Code *

How do you prefer to be contacted? *

Text

Phone call

Estimated Due Date *

YYYY

Which class would you like to register for? *

Where do you plan to deliver your baby? *

How many previous births have you had? *

How did you hear about my classes? *

Are there any special circumstances surrounding this pregnancy that you would like me to know?

Pay Your $50 Deposit Now to Reserve Your Spot in Class

paypal.me/birthwithapril OR https://venmo.com/code?user_id=3240419991224320866

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