Private Classes Inquiry
First Name
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Last Name
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Pronouns
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Phone
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Email
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Partner/Primary Support Name
Partner/Primary Support Pronouns
Partner/Primary Support Email
City
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State
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Postal code
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What is your estimated due date? / When was your baby born?
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Is this your (first, second, third, fourth) baby?
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Where are you having your baby? (name of the hospital, birth center, or home)
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Name of your doctor or midwife?
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What classes are you interested in?
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Labor & Birth Preparation Class
Postpartum Prep & Newborn Care Essentials
Newborn Feeding (Breast & Bottle) Essentials
What are your primary learning goals?
How did you hear about Birth First Doulas?
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Terms & Conditions
By filling out this form and submitting it, I am exempting Birth First Doulas from all liability for any loss of information, though unlikely, that might occur through submission of this form and any email or text communications with Birth First Doulas or any of its independent contractor doulas. I agree to the privacy policy and terms and conditions provided by Birth First Doulas. By providing my phone number, I consent to receive SMS notifications, alerts/reminders, and occasional marketing communication from Birth First Doulas.
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