Hypnobirthing Australia™ Group Course

Enrolment Form 

Please note that it is a prerequisite to complete this form before participating in Hypnobirthing Australia™ classes with Blueberry Hypnobirthing. This information is important so please complete it as soon as you can.

It will only take a few minutes.

 

Please complete the form below

Mother's Name *
Mother's Name
Address *
Address
Birth Companion who will be joining you for this course (name of spouse, partner etc.) *
Birth Companion who will be joining you for this course (name of spouse, partner etc.)
Birth Assistant (if applicable)
Birth Assistant (if applicable)
Do you consent to us contacting your Obstetrician or Midwife to discuss the details of your pregnancy should it be required (it would be discussed with you first)? *
It is important to be comfortable and pain-free throughout all activities in class and remain within your personal limitations. If you experience pain or discomfort in any of the in class activities – STOP – and seek advice *