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Class Date
Preferred Date
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Group – February 1/2, 2025
Group – March 8/9, 2025
Group – April 5/6, 2025
Group – May 3/4, 2025
Group – June 7/8, 2025
Private Class
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Participant #1
Full Name
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Number Phone
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Email
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Participant #2
Full Name
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Number Phone
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Email
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Birth Information
Who is your provider?
(required)
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Midwife
Family Physician
Obstetrician
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Where do you plan on giving birth?
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Home
Hospital
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When is your Due Date?
Date (MM/DD/YYYY)
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Other Information
Is there anything else you think we should know?
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How did you hear about us?
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Provider Referral
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Internet Search
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