Birth Your Way Registration

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Have you thought about what you want your birth story to be? Our partner, Zenith Birth Services, will be educating you on what to expect during labor, comfort measures and most importantly how to have an informed birth experience. Sarah Oldre and Chelsea Eggleston are professional birth doulas and have assisted women during labor for several years. Bring your labor questions and we know you will leave feeling one step closer to being prepared for your birth story!

Guiding Star Cedar Valley is located at 220 Southbrooke Drive, Waterloo, IA 50702. If you have any questions, please call (319) 232-2695 or email Maddie at maddie@guidingstarcedarvalley.org.

Email *

Name *

Spouse's Name (if applicable) *

What date are you registering for? *

May 14th, 2024 at 6pm

Let me know when this class is offered next!

Required

Date of Birth *

YYYY

Phone Number *

I agree to pay the $25 (per couple) registration fee using the link below. (This money goes back into serving clients who come into Guiding Star for services).

*Be sure to still submit this google form :)

https://connect.intuit.com/pay/GuidingStarCedarValley/scs-v1-a91c8a94dfad478980551f08418dc88c6222ce5f52ce465281892876cc2e49a97850baf6e899466bb8ffb27d7f052a77?locale=EN_US

Please send me the financial assistance form

How many spots would you like to reserve in our FREE childwatch space during the class? *

How did you hear about this class?

Do you have any questions?

Are you willing to be added to our mailing list to learn about other upcoming events, updates, etc.?

Yes

N/A - I'm already on the mailing list.

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I hereby give GSCV the absolute right and permission, with respect to any film, photography, video, or audio recordings being made of me and with respect to my participation in this class: a) To copyright, use, re-use, publish, and re-publish the same in whole or in part, in any medium; and b) To use my name in conjunction therewith, if so desired. I release and discharge GSCV from any and all liabilities, claims, or demands arising out of or in connection with the use of these film, photographs, video, or audio recordings.

Yes

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A copy of your responses will be emailed to the address you provided.

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