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Birth & Beyond Education Series by Crocus Doula - *Register Here*
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1.
Congratulations on your pregnancy! Thank you for registering for our course. Please help us personalize the session by answering a few questions.
When is your estimated due date (EDD)?
(Required.)
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2.
Who will be attending the class(es)? Please include each person's pronouns. Birthing people, partners, and support people are all welcome!
(Required.)
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3.
Which session package are you registering for?
(Reminder that payment packages are available and an email regarding payment will be sent after this form has been submitted.)
(Required.)
One Class - $120
Two Classes - $204
Three Classes - $288
Four Classes - $360
Five Classes - $432
Six Classes - $500
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4.
What topics are you interested in learning more about during the session?
(Required.)
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5.
Which class(es) are you registering for?
(select all that apply)
(Required.)
Understanding Labour & Birth
Options & Interventions
Pain Management Strategies
All About Postpartum
Mental Health, Relationships, & Finding Support
Feeding Baby & Newborn Care
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6.
Will this be your first birth experience?
(Required.)
Yes
No
Prefer not to answer
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7.
Is there anything else you'd like us to know about you/your family/your pregnancy that will help us cater our language and information to your needs?
(Required.)
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8.
Are there any accessibility accommodations we could make that would make your experience more comfortable or inclusive?
(Required.)
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9.
Which upcoming session do you plan on attending?
(Required.)
October 1-November 5 - Wednesdays 6-8:30pm
November 17-December 22 - Mondays 6-8:30pm
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10.
What is the best email address to send information to?
We look forward to seeing you at the course date(s) of your choice! We will send you more information about the course to the email address provided here. All of your answers above are confidential, and only asked to better understand the information needs of the group. Thank you!
(Required.)