Registration

To register, please complete the form below. If you are unsure which dates are best for you, please email me at liz@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 Liz@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.

Select the series/class you prefer...

First Name:

Last Name:

Name of Partner/Support Person:

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

EDD:

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.