Childbirth Class Registration

Please fill out the form below.

*You should receive a confirmation email with 48 hours of signing up. Please check you spam if you have not received an email from haileydoulaservices@gmail.com*

Name

First Name

Last Name

Email

Phone

(###)

###

####

Due Date

MM

DD

YYYY

Name of guest attending the class with you (if applicable)

What class are you signing up for?

Private Lesson ($300)

Payment Options (due 1 week prior to first class)

Venmo (@haileydoulaservices)

Cash or check

Do you consent to have your pictures taken? I will ask for permission prior to posting online.

Pictures are ok

No pictures please

How did you hear about my class?

Childbirth Class Registration

Location

Contact