HypnoBirthing® Class Registration Form

Please complete the form below to register for your desired class.

Once you have completed and submitted the form, you will be contacted by e-mail within 24 hours to complete your class registration.

The complete program fee is $475 (includes applicable taxes) and includes a 30 minute ND consult.  A $175 deposit will be required to secure your spot in class and will be credited towards your class fee (instructions will be sent).

Cancellation policy: In consideration of the small class size, the instructor and of those on the wait list, please cancel by phone or e-mail as soon as you can so that your spot can be filled by another waiting parent.

Pregnant Person's Name *

Birthing Partner

Estimated Due Date *

Are you an Ontario resident? *

How did you hear about us? (If through a website/ search please be specific, if possible)

Email *

Contact Number *

Class Start Desired *Please choose from the following ...Thursday, March 16 at 7:00pm - 9:30pm with Dr. OliviaThursday, April 20 at 7:00pm - 9:30pm Thursday, June 1 at 7:00pm - 9:30pm Thursday, Aug 3 at 7:00pm - 9:30pm

The regular program is 5 weekly classes from the start date (no classes during statutory holidays and holiday weekends) It is recommended that you start the classes when you are 30-32 weeks pregnant or earlier.

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