HypnoBirthing®--the Mongan Method Course Enrollment
Mother's Name
Birthing Companion
(Spouse, Partner, etc.)
Home Address
Mailing Address
Preferred Phone
City, State, Zip
City, State, Zip
Alternate Phone
Emerg. Contact
Phone
Birthing Asst.
Name
Relationship
Doula, Friend, Etc
Care Provider
Name/Title
Care Provider
Address
Birth Facility or
Home Birth?
Address of Facility
Due Date/Time?
How many weeks pregant will you be when you begin the class?
I wish to enroll for class beginning?
Group Classes Available in Worthington, Ohio at CHOICE
HypnoBirthing covers 12 hours of classes. Most classes are on Sundays except those with a holiday on the weekend. Below are the start dates of each series. Contact the instructor for specific dates Sharon@:
January 8
No Classes in February
No Classes in FebruaryMarch TBA April TBA
April TBAGroup Classes Organizing for Pickerington and Lancaster Area.
Private Classes Available in your HOME but must contact me prior for availability.
Contact Sharon Gourlay at Sharon@SacredBeginning.com
740-687-5506
Tuition fee: Group Classes are $325 /Inquire for Private Class Fee’s
Deposit for Group Class $150 due prior to class
(fee includes textbook, audio practice CD, additional book CD & handouts)
Payment Arrangements Available!
Payments can be made via cash, personal check, OR PayPal (additional charges for PayPal transactions).
Make Checks Payable to: Sharon Gourlay at 309 N Mt Pleasant Ave. Lancaster, Ohio 43130
Group Classes Held at CHOICE 5721 N. High Street – Worthington, Ohio 43085 ~
Balance Due on evening of first class if arrangements not made previously.
Affiliated & Certified with the HypnoBirthing® Institute
www.HypnoBirthing.com
Copyright © 2011 Sharon Gourlay
Website Design Sharon Gourlay
