Gentle Parenting Classes
Calmbirth® Booking Form
Date of Classes:
12 hour Private Class
6 hour Private Class
Feb 10th & 17th
March 17th & 24th
April 7th & 14th
May 19th & 26th
June 16th & 23rd
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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