Birth Class Registration

Register for Class
Client Name*

First NameLast Name
Partner (if applicable)

First NameLast Name
Due Date*

MonthDayYear
Date
Class*
Private classes may be held at your home. If you live outside of New Orleans and would like a childbirth class in your home, please reach out to us at amanda@nolanesting.com first to confirm availability.
Preparing for Birth 6 Week Course
Birth In A Day (1pm-5pm)
Midwife or Doctor
Email*
example@example.com
Phone*

Area CodePhone Number
Partner's Phone

Area CodePhone Number
Address for delivery of your Course Journal

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
All payments are nonrefundable and nontransferable.

I am registering for

Private Instruction$450.00

6 hours of private instruction. Additional hours billed as scheduled at $75/hour

Birth in a Day - In Person$250.00

Enter coupon

Subtotal $0.00Tax $0.00Total $0.00

Register for Class