Hypnobirthing Registration                                  (please print out and post)

Name:

Address:

Tel.

Email:

Course start date:

Expected date of delivery:

Pregnancy number (first? Second?)

Please let me know on the day if you have any pre-existing medical conditions.

Please enclose your £50 deposit, balance of £230 payable on commencement of the course

.

For one to one classes deposit £100 and balance £400.

Cheques made payable to Kate Bourne, and send with this form, please email me at glasgowcara@aol.com for postal address.

There is no need for you to buy the HypnoBirthing book or CD’s prior to starting the course as these are included in the cost.

How did you hear about Happybirth HypnoBirthing Classes?