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Registration for EBB(R) Childbirth Class
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I'm so excited to have you joining us! Please complete the information below and submit payment for the class based upon your choice of options. Feel free to contact me at
info@evidencebaseddoula.net
if you have any questions or need assistance with registration!
Are you a current doula client of mine Evidence Based Doula, LLC (Mallory Ward)?
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Yes
No
Interested in becoming a birth client of Evidence Based Doula, LLC
Which EBB Class Date are you registering for?
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Please enter the class start date
Your answer
What package option are you registering for?
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PACKAGE 1) - $275; Includes a digital workbook + 3-month access to class content
PACKAGE 2) - $300; Includes a digital workbook + 6-month access to class content
PACKAGE 3) - $350; Includes a digital workbook + 6-month access to class content + mentorship throughout pregnancy
Required
Do you want to purchase a printed workbook for this class? ($15)
*
***Only an option if registration and payment is submitted greater than 10 days before the start of the class****
Yes (Please add $15 to the total cost of the class)
No
Contact info
Your first and last name
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Your answer
What is your estimated due date/guess date?
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MM
/
DD
/
YYYY
What are your pronouns?
She/her
He/him
They/them
Other:
Clear selection
Address (please include unit number, if applicable)
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Your answer
Phone number
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Your answer
E-mail
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Your answer
Preferred contact method
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Phone
Email
Required
How did you find out about this class and/or Mallory Ward with Evidence Based Doula, LLC?
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Your answer
PLEASE SUBMIT PAYMENT VIA VENMO OR ZELLE @
MALLORY.R.WARD@GMAIL.COM
Please note: you are not fully registered for the class until payment has been received
Please watch your email for additional information on accessing the class materials and what to expect as we get closer to the start of the class date!
Email Info@EvidenceBasedDoula.net if you have any questions or concerns!
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