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) - $400

Out-Of-Hospital (4 weeks) - $300

Basic Training (5 hours) - $300

Comprehensive (10 Week) - $400*

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) - $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

Basic Training (5 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

Payment Method*

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name