Empowered Birth Learning Goals

Learning Goals

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Expectant Parent Name *

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Last

Support Person/Partner Name *

First

Last

Pronouns *

Desired Birthing Location *

Name of Care Provider *

Name of Doula (if applicable) *

Allergies (if applicable) *

Please take a moment to share what you are hoping to learn with us over the next 4 weeks. *

If you have had any medical concerns during your pregnancy or lingering fears about your labour, birth or postpartum transition we invite you to share them here. *

Thank you for filling out our form. See you in class.

Elise and Kristin

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Learning Goals

Let's Socialize

Birth Doula
Classes
Rental
Doula Grant
Blog

Learning Goals

Let's Socialize

​Birth DoulaClassesRental Doula Grant​Blog

Birth Doula
Classes
Rental
Doula Grant
Blog