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Birth Roots Doula 
Collective Inc.


Helping you have an easier,
safer birth.

                                  

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Birth Roots Doula Collective
Box 3661
Redwood Postal Outlet
Winnipeg, Manitoba
R2W 3R4
(204) 792-6769
Fax: (204) 783-9694
 www.birthrootsdoulas.com
info@birthrootsdoulas.com
 
 
Yoga Class Registration

Welcome to our online registration for Prenatal Yoga and Baby & Me Yoga.  If you have any questions, please do not hesitate to contact us by email or by telephone at (204) 792-6769. 

Step One

Please review the following details about these classes:

  • Fee for Prenatal Yoga: $100 (plus GST = $105.00)

  • Fee for Baby & Me Yoga: $100 (plus GST = $105.00)

  • Once you have registered, we will hold your spot for a maximum of two weeks without payment.

  • Refunds are available up to 3 weeks ahead of the class, minus a $15 administration
    fee.  No refunds will be given within three weeks of the class start date. 

  • Class dates are subject to change.  As well, we cannot guarantee that the class you have selected will be available.  In the event that it is full, we will contact you to discuss other options.

Step Two

Please complete the following form.  This information helps us get to know you better so we can best tailor the class to meet your needs.  Alternatively, you can phone us at (204) 792-6769 and we can complete your registration over the phone. 

Step Three

Please mail us your cheque.  Once we have received your cheque, we will email you a confirmation letter and reserve your spot in our class. 

For your convenience, you will be directed to a page that lists our mailing address and fee information after you have completed Step Two.  You can print that page for your records. 

____________________________________________________________________________________

Please check the class you are registering for:

Prenatal Yoga
Sept 7 - Nov 16, 2008 1-2:30 pm (no class Oct 12)
Baby & Me Yoga
Sept 7 - Nov 16, 2008 11:30-12:30 pm (no class Oct 12)

 

Name:    

Address:

City:    Postal Code: 

Phone Number: 

Work Number:  Can you be reached at work?

Email Address:  Please provide an email address where can reach you now as well as when you may be on maternity leave. 

Would you like to be added to Birth Roots Connections, a listserv for our clients to share information and experiences? (You can unsubscribe at any time.) Yes No

Baby's birth date, or your due date:  

Baby's name (please leave blank if baby not yet born):

If you have taken classes at Birth Roots before? 

How did you hear about us? 

Please press the 'Submit' button to process your registration