Let’s work together.Please complete the form below and I will reach out to you to schedule a class! I can't wait to hear from you! Name * First Name Last Name Partner's Name First Name Last Name Email * Phone * (###) ### #### What classes are you interested in? * Labor & Birth Postpartum, Breastfeeding, & the Newborn Both, please! When is your estimated due date? * Where are you giving birth and who is your provider? * Briefly describe your desires for birth and/or postpartum. What is most important to you? * What would a fulfilling infant feeding experience look like to you? Choose as many as you'd like. * Feeding at the breast Pumping breastmilk/Bottle feeding Formula/Bottle feeding I want my partner/others to also be able to feed sometimes Pumping just for return to work Mixture I'm unsure Previous birth/postpartum experience(s)? Please share a bit. * Do you feel like your partner is on board with your desires? How can I help them to learn best? * What is the main thing you want to gain from this class? Feel free to be as general or specific as you'd like. * Any other questions/comments/requests may be left here. This is a place to share if you have specific schedule requests or would prefer a one-on-one class. Do you participate in any of the following programs? * You may be eligible for a discounted rate or other payment methods. Medicaid SNAP/WIC TriCare HSA/FSA Healthshare Program Other Similar None of the above How did you hear about us? * Thank you for sharing those details with me. I’ll reach out to you soon to chat.
