Education Registration Form

We are honored to journey alongside you as you prepare for your birth and postpartum.

To sign up for our classes, please complete the registration form below and follow the payment instructions.

Registration AND payment are required to secure your seat in class. If you are in need of a payment plan, please reach out to our team as soon as possible.

First Name

Last Name

Email

Phone

Dad's/Partner's Name (if applicable)

Dad's/Partner's Email (if applicable)

What is your estimated due date?

Is this your first birth?

Where are you planning to give birth?

Is a doula part of your birth team? If so, who is your doula?

How did you hear about us?

Which class(es) will you be attending? Required

4 week Childbirth Education course

6 week bundle, which includes Childbirth Education, Newborn Care and Breastfeeding Classes

A-la-carte class (indicate which one(s) in the "Message" below)

Which course session date is the best fit for you? - Please contact us with any questions with chosing class dates

Message

I agree to terms & conditionsCancellation & Missed Class Policy

I understand that payment is due upon registraton. My seat will not be secured until payment is completed.

Photo & Video Release Form:

I understand and agree to the terms outlined in the Photo and Video Release Agreement.

I DO NOT agree to the terms outlined in the Photo and Video Release Agreement.

View Terms & Agreement

I understand that this registration covers mom and partner. As much as we love children, due to space and content, our class is not conducive to having children come along. We ask that you please find a safe place for them while you attend our classes and only bring along the child that is cozy in your belly :)

Thank you for submitting a registration form!

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Education Registration Form

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Colorado Springs, CO