Best Birth Forward: childbirth education series
REGISTRATION FORM | 8-week GROUP series | May 4-June 22 | 6:30-8pm | Sunlit Valley, Sydney
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The series will run Wednesdays starting May 4 until June 22, from 6:30-8pm at Sunlit Valley in Sydney. There will be a makeup date of June 29 should a class need to be rescheduled. Please confirm that these dates/times work for you before proceeding. *If NO,  or if your schedule would mean missing more than 2 classes, a private series may be the better option for you! Return to www.belleviebirthandbaby.ca/prenatal-education for private series information.* *
Required
For a group series to go ahead, a minimum of 4 registrations is needed to create the best dynamic and cover overhead costs. If the series does not fill, you will be automatically given a private series as an alternative (same value). Please confirm that you understand and accept this alternative arrangement. *
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Please list your full name and preferred pronouns. *
I recommend a partner/support person attend with you whenever possible. Ideally, this is the same person who will support you during birth. Please provide their name/relation, if relevant.
What is the best phone number to contact you? *
How would you like to communicate following this form?
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Where in the CBRM do you live? Because group classes are currently in-person, you should be able to attend weekly. *If you are outside of the CBRM, a private series may be the better option for you! Return to www.belleviebirthandbaby.ca/prenatal-education for private series information.*
What is your due month? This series is best if your due month is July-October. *If you are due June or earlier, a private series may be the better option for you! Return to www.belleviebirthandbaby.ca for private series information. The next group series will be September-October as an option for those due November or later. * *
Required
Who is your primary pregnancy care provider/doctor/OB?
What birth number is this for you?
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Is there anything you would like to share about your history/pregnancy that might help me better meet your family’s needs and expectations?
Are there any pregnancy/birth/postpartum topics of particular interest for you?
Are there any special needs/accommodations (academic or other) I should know about prior to the course to better support you?
There will be a private Facebook group for cohort class members for communication, updates, etc. Do I have your consent to add you to this group via e-mail invitation closer to the course start date? *
During our in-person sessions (usually the hands on comfort measures/stations week), I sometimes take pictures of the group practicing. Do I have your consent to take and possibly share these photos?
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How did you hear about this course and/or Belle Vie Birth & Baby? This helps me to understand how I'm best reaching clients.
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If you were referred by a friend, please provide their full name so I can thank them!
How will you be paying for the course? The $360 fee is required in full to confirm/hold your spot, unless otherwise requested. Thank you! *
NOTE: Some insurance companies *may* allow you to claim privately run childbirth education under their "other" category (along with doula services). It is worth looking into your particular insurance and inquiring. An official receipt can be provided with the necessary information if needed.
Do you have any questions you would like answered when I reach out to confirm your registration?
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