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HypnoBirthing Class Registration
To register for a group class, please fill out the information below.
I will contact you directly to verify registration and set up payment.
Birthing Person's Name
Birth Companion's Name (partner, spouse, etc.)
Mailing Address - where materials will be sent
Street Address Line 2
City
State
Zip Code
Country
Country
Best Email Address
Phone
I anticipate birthing at:
Hospital
Birth Center
Home
Undecided
Baby's Guess Date
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