Group Class Registration Form

* Indicates required field

birthing person's name *

First

Last

pronouns *

Email *

Phone Number *

Support Person's Name (Cost includes attendance of one support person) *

First

Last

Support person's pronouns *

I would like to register for - *

Estimated Due Date *

Planned place of birth *

Name of person who referred you: *

Submit

Full payment is required to reserve your seat in the class.
Please pay via Venmo or PayPal (Click or Scan QR below)
or contact [email protected] if you
need to make other payment arrangements.

Positively Pregnant - $50
Confident & Prepared Birth - $250
Postpartum Wellness, Breastfeeding & Newborn Care $125

After you register and pay you will receive an confirmation email with additional details. For virtual classes, you will also receive and email the day before your scheduled class with a Zoom link, class handouts and other information. Don't hesitate to reach out via email with any questions you have - [email protected]