Asana Mama Hypnobirthing Chicago

Registration includes class materials (digital workbook, two audio tracks). And unlimited email/text support leading up to your birth to answer questions and give additional suggestions.

To save your date for an upcoming class, please fill out the below enrollment form which is REQUIRED for registration. After you submit your form, please confirm your spot by using Chase Quickpay/Zelle or Venmo to book your registration. If you have neither Zelle or Venmo, please pay via Paypal.

Your class fee is required upon submission of this form.

If you would like to submit your deposit via venmo, please send to this account: @sarah-baker-58

If you would like to submit your deposit via Zelle or Chase Quickpay, please send to this account: Sarah@SBSImage.com

**I am SO honored to help educate and prepare you for your upcoming birth! I cannot wait to meet you and your partner.

Private HypnoBirthing Registration

First and Last name

Birthing partners name:

Email:

Address: Street address, apt #/suite etc, City, State, zip code *

Phone

Estimated due date

Care provider first and last name

Birthing Assistant./ Doula name *if applicable *

If you were referred to this class, who referred you? (insert N/A if you heard about this class from another source)

Text

In order to save your dates for class, the total registration fee needs to be submitted along with your registration form

I understand

Registration payment preference: Please indicate here if you'd like to register via Chase quickpay/Zelle or venmo *

Please list the class dates agreed upon with your teacher

If you are a no show for a scheduled private session, the session will not be rescheduled and a refund will not be submitted. You will receive a recording of the missed class content.

I understand

How did you hear about us?

Google search

Referral

Social media

HypnoBirthing Institute

**PLEASE NOTE: Paypal registration will require me to send you an invoice from paypal directly. The paypal invoice will include paypal fees and will be slightly higher than the registration fee. If you would like to submit payment via Paypal – please email me after you have submitted your registration to: Sarah@AsanaMama.com