Bradley Method® Class Registration

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Presented By Aware Birth and Beyond
12-week class series is starting on August 6th, 2020. We meet on Thursdays at 6:30 pm.
Classes will be held at My Family Birth Center in South Ogden and broadcast via Zoom meeting.

$50 Registration is applied to tuition. Total Tuition $350 (Flexible payment arrangements available.)

Email *

Pregnant Person's Name (*We will refer to this person as Mom on this form) *

Mom Phone Number *

Husband/Partner Name

Husband/Partner Phone Number *

Anticipated Due Date

YYYY

Mailing Address *

City *

Zip Code *

Will both you and your partner commit to attend at least 10 of the 12 classes *

Yes I'll be there.

I want to, but may need to make up 1 or 2 classes

Required

How did you hear about Aware Birth Classes

Facebook

Google

Miracle Midwifery

Bradley Method Website Directory

Flyer

Other:

Do you agree to pay a deposit of $50 before the end of the 1st class and the remaining balance by the end of the series? Unless referred by Miracle Midwifery

Preferred payment method

Invoice

Cash

Included in Miracle Midwifery package

Other:

Any comments, unique circumstances, preferences, or questions for instructors?

Send me a copy of my responses.

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