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To register for a HypnoBirthing® class,
please provide me with the following details :
Your name
Email address
Telephone number
Postal Address
Your estimated due date
Date you would like to take a class
If you wish to have a private class,
what are your preferred dates / times?
Birth companions name
Relationship to baby
Previous pregancies and births / when?
What other birth preparation classes
have you taken?
Outline your current physical condition
(including any mediation and the reason)
Outline what you hope HypnoBirthing
will do for you in the birth
Suzanne Austen • HypnoBirthing® Practitioner • New Zealand • e:
info@HypnoBirthing.co.nz
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