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Antenatal Course Booking Form


First name of Pregnant Lady
Last name of Pregnant Lady
Will a birth Partner attend? *
Birth Partner's first name
Birth Partner's last name
Is This Your First Baby?
The first line of your address

Tell us how you would like to stay in touch with your small group

Total Cost: £179

Pay via PayPal: You can pay with your credit/debit card if you do'nt have a PayPal account.

To book your antenatal course place just fill in this form and click ‘Proceed to PayPal’.

You’ll then be taken to a Paypal payment page where you can pay for the course securely via Paypal account or Credit/Debit card. Please note that your place on your selected course won’t be confirmed until you’ve completed payment.

Thank you!
Emily

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