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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,
[email protected]
, 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.
*
Indicates required field
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