HypnoBirthing Enrollment Form

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Classes are held at The Mind Sanctuary, 10 Winstedt Rd #01-04 Singapore 227977
Contact us at (65) 6100 9863 / 9863 7867 or yen (at) birthdiscovery (dot) com
Please send us a text message after you complete this form for prompt reply.
I understand that this is a program designed to teach me to use my own natural abilities to bring my mind and my body into a state of relaxation.
I further understand that the content of these classes is in no way intended to be represented as medical advice or as a prescription for medical procedure.
I am aware that I should seek the advice of a health-care provider to answer any health-related or pregnancy-related issues surrounding my pregnancy, my labor, or my birth.

HypnoBirthing - The Mongan Method Childbirth Education

What is your email address? *

What is your phone number for contact please? *

Which course intake are you signing up for? *

When is your estimated birth date?

Husband/Partner's Name

Which course /package are you signing up for? *

HypnoBirthing Course $650 March Promo

HypnoBirthing Virtual Classes Special $495 for International Women's Day (Valid till 31 March)

HypnoBirthing and Calming Baby $700 March Promo

HypnoBirthing and Labour Tools $750

HypnoBirthing, Calming Baby and Labour Tools $800

HypnoBirthing Refresher Course $250 per session

Well Pregnancy Care $1200

Please help us understand how did you find us? *

Online search

Social media

Other events / talks

Referral by Doctor / Friends / Holistic Practitioners

Other:

Any information you wish we take note of / questions

I agree to be contacted by phone, email and text message *

Yes to all

Prefer a phone call

Prefer a SMS / WhatsApp message / email X

Other:

Required

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