Parent Registration
You can register and pay your deposit for classes in Salinas, Carmel, Monterey, or Santa Cruz using the form below. Once registered you'll receive an email with suggested reading material and videos for you and your partner to get started on before classes begin. If you have any questions, please don't hesitate to contact me, corilynngentry@gmail.com or 831.484.4358.
Which class are you registering for?
Location & Date of Desired Class
Your answer
Pregnant Person's Name:
Your answer
Pregnant Person's Email:
Your answer
Preferred Nickname and/or Pronouns:
Your answer
Preferred Family Name (Mom or alternative):
Your answer
Partner's Name:
Your answer
Preferred Nickname and/or Pronouns:
Your answer
Preferred Family Name (Dad, Mom or alternative):
Your answer
Partner's Email:
Your answer
Address (Street, City, Zip)
Your answer
Phone Number:
Your answer
Age:
Your answer
Estimated Due Date:
Your answer
Expecting:
Number of children:
Your answer
What have your previous births been like?
Your answer
Where are you planning on having your baby?
Your answer
Who is your midwife or doctor?
Your answer
How did you hear about Birth Chemistry?
Your answer
What are your hopes for your birth?
Your answer
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