Online Booking Form

In order to book your course, you can either complete the online booking form below, or complete and return the form via email or post (Download Here)
You must read and agree to my terms and conditions when booking.

Name *

First

Last

Address *

Phone Number *

Email *

Estimated Due Date *

Do you have a birth partner attending? *

Yes No

If Yes, what is their name & relationship to you? *

Is this your 1st, 2nd, 3rd+ baby? *

Do you have any medical conditions which you are under supervision for? *

Yes No

Please give detail if yes *

Where are you planning on giving birth? *

How did you hear about Rachel's Hypnobirthing classes? *

What do you wish to gain from the course? *

Is there anything else which you wish to tell me? *

I agree to Terms & Conditions *

Yes No

Book