Gentle Parenting Classes
Calmbirth® Booking Form
Date of Classes:
12 hour Private Class
6 hour Private Class
July 21st and 28th
August 31st and September 1st
September 22nd and 29th
October 20th and 27th
November 17th and 24th
December 14th and 15th
Support Person's Name:
Support Person's Occupation:
Are you intending to claim for a private health rebate?:
Private Health Fund (if applicable):
Are you currently being treated for any physical or psychological issues?:
** If you are under the care of a psychologist or psychiatrist please provide a letter of approval for you to attend the Calmbirth® course.
What number baby is this for you:
Maternity care provider:
What are your feelings about birth prior to commencement of the class?:
What kind of birth are you hoping to achieve?:
Is there any specific fear you have regarding the birth or becoming a parent?:
If you have a special place in nature, where is it? E.g beach, mountains.
Would you like to attend our Gentle Parenting and Breastfeeding Class?:
Dietary Requirements (group classes only):
Deposit - $200
(Group) Pay in full - $550
(Private) Pay in full - $550
(Private) Pay in full - $750
Please note - Minimum non-refundable $200 deposit requried to secure your booking.
The Calmbirth® class includes guided psychological and emotional preparation for birth. I understand that the delivery of the course will include guided relaxation as a means to facilitate emotional subconscious healing of fear and anxiety about childbirth.
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