Register for Class!

Registration- Complete Childbirth Preparation Class

Mother's Name *

First

Last

Partner's Name *

First

Last

Which Class are you registering for? *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Phone Number *

Estimated Due Time *

Where are you planning on delivering? *

Who is your care provider? *

How did you hear about this class? *

This is my: *

First Baby Second Baby Third + Baby

Special requests or questions *

Securing your Space and Payment Information

The class fee is $175 for both weeknight and intensive Saturday classes.

Once you've submitted this form, you will get an email from the instructor confirming your registration. Please allow 1 day for the confirmation email, we don't have an auto-reply so Kate will send them as she can!

Please continue to the Payment Page to pay the class deposit! You may also mail a check to:
Kate Rollins
18701 67th Pl NE
Kenmore, WA 98028

The remainder of the class fee will be due by the first night of class.