A La Carte class registration

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Click here for a printable registration and mail it with your payment to
976 Linwood Rd., Birmingham AL 35222.
Or complete this form to register and pay online:

Choose the classes you plan to attend here. Then click below to choose your payment option: individual classes or a multi class package and pay with PayPal.

Childbirth & Postpartum Class Registration
Attendees may register up until 5 pm on the day of class.

* Indicates required field

Name *

First

Last

Your Due Date *

Partner or anyone coming with you? *

First

Last

Bring your partner, friend, sister, mother or come alone, all are welcome!

Anyone else? Doula, friend... *

First

Last

We love when you bring your support team with you to class!

Phone Number *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Is this your first baby? *

Yes No

Where do you plan to have your baby? *

Who is your care provider? *

Who is your doula? *

Don't have one yet? No worries, we can help you find a doula that feels right to you. Have a doula not associated with BirthWise? No problem! She is welcome to join you in class!

Choose the classes you plan to attend *

Birth Prep Essentials Instinctive Birth Navigating your Hospital Birth Navigating Your Hospital Birth Part II Comprehensive Comfort Measures Getting the Breast Start Welcome to Parenting Soothe & Sleep

Click all the classes you plan to attend.

Class dates: *

Please list the dates of the classes you plan to attend.

Is there any particular subject or concern you want to be sure we address in class? (Answering this question can also help us make the best recommendations for which classes would be best for your needs.) *

How did you hear about our classes? *

Promotional Code *

Enter your code here. We will send you a confirmation for our special!

COSTS:   $60 per class

Save with Multi-Class Packages:
Any 4 classes for $235
Any 6 classes for $345
All 8 classes for $450

Fee is per pregnant person! Bring your support team with you to class. We are happy to have them!

*Attendees may register up until 2 days before the class

Click here to SUBMIT, then pay below!

Pay HERE

Thank you!

Choose the classes you plan to attend here. Then click below to choose your payment option: individual classes or a multi class package and pay with PayPal.

Childbirth & Postpartum Class RegistrationAttendees may register up until 5 pm on the day of class.

Childbirth & Postpartum Class Registration
Attendees may register up until 5 pm on the day of class.