xClass Registration Houston

$0

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Name Name First Last
Partners name (or whoever will be attending class with you) Partners name (or whoever will be attending class with you) First Last
Email
Phone Phone - ### - ### ####
Due Date Due Date / MM / DD YYYY
Where do you plan to have your baby?
I am enrolling in:

I am enrolling in: Self Paced Online Class and Prepared Feeding ($125) Prepared Feeding Breastfeeding Class ($40) Pregnancy Meditations ($9)
I am choosing the following class date:
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Is there anything you wish to share with your educator concerning your pregnancy or plans prior to attending the class?
Who Referred you to Great Expectations?
Code if Applicable
Great Expectations Birth classes are designed for educational purposes only. It is not a substitute or replacement for professional medical advice, diagnosis, or treatment. All payments are non-refundable (with exceptions made in the case of preterm birth and other medical conditions).

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
After submitting this registration, you can expect to hear from your teacher in the week prior to your class with more details. Feel free to contact us with any specific questions.

Happy Birthing!