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HypnoBirthing® Registration
hosted by Milagro Birth @
www.milagrobirth.com
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* Indicates required question
Mother's name:
*
Your answer
Who will be attending class with mother?
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Name and relationship
Your answer
Email Address
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Your answer
Mailing Address:
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Your answer
Phone number
*
Your answer
Estimated Due Date
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Your answer
Where do you plan on birthing your baby?
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Your answer
To reserve your spot in class, send a $150 deposit. Remainder of $200 due at first class.
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Mail check or money order: Lisa Marie Morgan at 1406 SW 22nd St. Troutdale OR 97060
Sign up for Dancing for Birth and HypnoBirthing together and get $20 off registration!
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