Registration

To register, please complete the form below. If you are unsure which dates are best for you, please email us at teachers@birthzone.com or call (425) 868-4989 x2

To secure your spot in a multi-week series, please send a deposit of $100 within a week of registering, either by Paypal to teachers@birthzone.com or by check to:
Birth Zone, 20747 NE 112th St, Redmond WA 98053.

No need to send a deposit for the refresher class.

Please note: we're having intermittent technical difficulty with this registration form. If you don't hear back about your class registration within 24 hours, please send email to Teachers@BirthZone.com with the class series you want and phone number.

Select the series/class you prefer...

First Name:

Last Name:

Name of Partner/Support Person:

Relationship to you (eg. spouse/partner/doula/mother/friend):

Due Date:

Name of Midwife or OB:

Where are you planning to give birth?

Email Address:

Phone Number:

City:

If you intend to buy a birth ball from me, please enter your height:

How did you hear about Birth Zone classes?

Do you have any questions? Any topics you particularly want to cover in class?

If you had any difficulty with the registration form click here for a version you can print out and mail to me.

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