Enrolment

Tuition fee:

The Positive Birth Program

$495 Group Classes

$860 Private Classes

The Positive Caeserean Birth Course

$400 Private Sessions only

Fee includes your training folio & downloads.Payment Plan available for clients with limited income.To hold your place in the class, please complete the below form with a $150 non-refundable tuition deposit. Final payment is due 7 days prior to course start date.

Please make payment via direct deposit. Kindly, Rachel. Direct Deposit Details:

Bank: ANZ

Account name: Rachel Dineen

BSB: 013711

Account number: 428929179

Reference: Please state your surname

Mother’s Name *

First

Last

Address (Street name and number) *

Suburb / Postcode / State *

First

Middle

Last

Email *

Preferred phone (Mobile / Alternative Number) *

First

Last

Preferred email *

Birthing Companion (name of spouse, partner etc) / Relationship *

First

Last

Birthing Assistant (if applicable)

Care Provider Name & Title (eg. midwife/doctor/obstetrician) / Location *

First

Last

Hospital / Birthing Facility *

When is baby expected? *

How many weeks pregnant will you be when you begin classes? *

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

Is this birth a VBAC or is there any important information/medical conditions/psychological or psychiatric treatment you need me to be aware of before classes commence? *

I wish to enrol for the Course beginning (date): *

Where did you hear about us? *

Referral code

Enrolment

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