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A Time To Birth Registration
To register, please fill in the following information. The answers to the questions helps me have a sense for the mix of people in the class, and lets me personalize the experience for the specific group. There are no "right answers". You can also register by email, shira@jewishbirthnetwork.com, or phone 617-855-5526. You can pay through the link to Google Checkout at the bottom of the page, send a check in the mail or bring a check to the first class. Please call or email with any questions or concerns.
Name
*
First
Last
Email
*
Phone Number
*
-
-
Where do you plan to give birth?
*
What kind of birth experience are you hoping for?
*
How did you hear about A Time to Birth?
*
Payment Options
*
Pay by mail - PO Box 1401, Framingham, MA 01701
Pay at first class
Pay Online
Partner's Name
*
First
Last
Partner's Email
*
Approximate due date: exact date or just the month is fine
*
Where are you located? - Town, city or neighborhood
*
How are you now or have you been involved with Judaism / Jewish community?
*
Anything else you'd like me to know?
*
Submit
A Time to Birth Registration
$
180.00