Revelstoke HypnoBirthing® Class Registration

*Associated with the HypnoBirthing® Institute*

November 6 & 13, 2011
February 12 & 19, 2012
May 6 & 13, 2012
September 9 & 16, 2012
9am-5pm
lunch from 12-1pm

Class includes:

2 Sunday classes - total 14 hours
course text “Hypnobirthing the Mongan Method”
2 CD’s
5 Hypnosis scripts for home practice
Unlimited phone and email support until your birth

$300/per couple

*CLASSES ARE LIMITED TO A MAXIMUM OF 5 COUPLES SO PLEASE REGISTER EARLY TO HOLD YOUR PLACE*

A deposit cheque of $100 is required to hold your place in the class.  You are welcome to send an email money transfer to deanna@motherdaughterdoulacare.com.  If you prefer you may leave a cheque, payable to Deanna Blanshard Rumsey, at Helios Rehabilitation and Performance (1605 Victoria Road W.  http://www.heliophysio.com). The remaining $200 will be due at the start of your first class. For those needing to request a payment schedule please let me know and we can make arrangements.
 

* Required fields
Name *
E-mail Address *
Partner's Name
Others attending your birth
Address *
Phone Number *
Expected Birth Date *
This is my... *	First birth Second birth Third birth +
We are planning to birth our baby... *	At home At the hospital
Our health care provider is a... *	Midwife Doctor
Name of health care provider *
Class I am registering for... *	November 6 & 13, 2011 February 12 & 19, 2012 May 6 & 13, 2012 September 9 & 16, 2012
I am... *	Leaving my $100 deposit cheque at Helios Sending my $100 deposit by email money transfer
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