Class Registration | Birthing With Awe

Registration

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Name*

First Last

Email*

Phone*

Class Start Date*

Classes*

Please Choose a Class you want to attend

Comprehensive (10 Weeks) – $500

Out-Of-Hospital (4 weeks) – $350

Basic Training (6 hours) – $300

Comprehensive (10 Week) – $500*

Please Choose the type of payment If you choose “Deposit Only”, Final payment will be due at time of class.

Deposit Only ($50)

Full Payment

Out-Of-Hospital (4 weeks) – $350*

Please Choose the type of payment If you choose “Deposit Only”, Final payment will be due at time of class.

Deposit Only ($50)

Full Payment

Basic Training (6 Hours) – $300*

Please Choose the type of payment If you choose “Deposit Only”, Final payment will be due at time of class.

Deposit Only ($50)

Full Payment

Total

Credit Card

Cardholder Name

Card Details

Billing Address*

Please enter your billing address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country