Sign up for Childbirth Education Class

Sign up for Childbirth Education Class
Light in the Womb Birth Services Childbirth Education Course Enrollment
Which class would you like to sign up for?*

HypnoBirthing® - The Mongan Method - March 3rd VirtualHypnoBirthing® - The Mongan Method - April 14th VirtualHypnoBirthing® - The Mongan Method - July 7th VirtualPreparing for the 4th Trimester - Feb 13th VirtualPreparing for the 4th Trimester - March 20th Virtual
Mama's name*

First NameLast Name
Partner's Name

First NameLast Name
Estimated Due Date*

MonthDayYear
Mama's E-mail*
Partner's E-mail
Mama's Cell Phone Number*

Area CodePhone Number
Partners Phone Number

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Birthing Location*
Care Provider's Name
Date of Class you wish to Enroll in*
How many weeks pregnant will you be on the first day of class?
How did you hear about Light in the Womb Birth Services?*

My Classes*

Deposit ONLY! You may save a seat in the class with a $50 deposit. The balance is due one week prior to 1st day of class.$50.00

HypnoBirthing® - The Mongan Method. Fee includes textbook, audio file downloads, and handouts.$375.00

Preparing for the 4th Trimester. Fee includes all the handouts and file links.$200.00

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Light in the Womb Birth Services Childbirth Education Course Enrollment