Registration Form for Classes

Congratulations on your pregnancy!

Thanks for considering The Bradley Method® for training for the birth of your baby. I think you’ll find the Bradley Method® classes to be an excellent investment for you & your baby’s well-being.

Class Time: Tuesday evenings (7:00-9:00 PM).

Class fee: $200 ($50 to reserve your spot and the remaining $150 due the first class). You can pay by check (written out to me), cash or credit card thru Paypal.

Refer a friend! Get $25 off!
If you refer another expectant couple with a similar due date, and they choose to take the same series, I offer a $25 discount to you both!

Included in fee: Bradley® student workbook, supplemental binder with over 200 articles on loan to each couple, and a copy of Husband-Coached Childbirth to use throughout the entire series.

Along with those extras, I have an extensive lending library for all Bradley couples to use. I strongly request that you read Natural Childbirth the Bradley Way by Susan McCutcheon in conjunction with taking the course.

Please fill out the following form. When you complete and submit the form you will have the option of mailing in your payment or using Paypal. When I receive your registration and payment, I will send you the course content brochure. Thank you—I look forward to hearing from you!

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  10. Married?
  11. Children?
Personal Information
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  3. Smoke?
  4. Smoke?
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  6. Are you planningto breastfeed your baby?
  7. Have you contacted La Leche League?
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  9. Any unusual circumstances in previous births?
  10. Describe
  11. Any problems with this pregnancy?
  12. Captcha
 

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