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Register Online
Fill in the boxes below and click "Send" to register for an upcoming class series online.
First Name (Mom)
Last Name (Mom)
First Name (Dad/Partner)
Last Name (Dad/Partner)
Address Line 1
Address Line 2
City
State
Zip Code
Daytime Phone() -
Evening Phone() -
E-mail Address
Due Date
Choice of Birth Location
Name of Doctor or Midwife
First baby? Or ages of siblings
Starting Date of class registering for
Questions or Concerns?
Your spot in an upcoming class series will be reserved on the day payment is received.  Upon completion of the online registration above, please send payment to:
Michelle Morrow
Bloom Holistic Childbirth Preparation
21715 Sazarac Rd
Reno, NV 89521
Tuition can be paid in full upon registration or in installments.  Please contact me for payment plan options.  Tuition is non-refundable.  At this time, I can only accept cash, personal checks or money orders.  Please make checks payable to Bloom Holistic Childbirth Preparation.



bloom \'blüm\ n: a state or time of beauty, freshness, and vigor