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Course Registration Form
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Name
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Last
Support Person's Name
*
First
Last
A support person might be: husband, wife, friend, doula, mother, mother-in-law. Support during breastfeeding is KEY to success!
Email
*
Phone Number
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Class Date (Classes Held on Sunday from 2-4 pm)
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July 24th, 2016
September 18th, 2016
November 20th, 2016
Preferred Payment Type (non-refundable)
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Check (to be mailed to Leah)
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Class fee is non-refundable and is required to complete your registration. Leah will email you with directions on how to pay with your preferred payment type after this form is submitted.
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