Please enable JavaScript in your browser to complete this form.Your NameYour Partner's Name (pregnant person you are attending class with:)EmailI will not send any unsolicited emails to you, or share your email with anyone else. However, including your email here will allow you to receive a copy of this registration form.Your Baby's Due DateHave you been at any births previously? If yes, please describe your experience. In thinking ahead to your baby's birth, what things do you hope for, and/or fear, about this experience?Have you ever used hypnosis, meditation, progressive relaxation or visualization? If yes, please describe.What is the nature of your work (employment) and/or other hobbies or interests?Is there anything else I should know about you to allow me to support you as much as possible? PhoneSubmit
