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  • Class Registration Form

    Instructor- Michelle Smith
  • About You

  • About Your Birth Partner

  • Your Address

  • About Baby

  • Pregnancy Related Medical History

    Some of this information is sensitive by nature. Please know that I honor that. Thank you for sharing your answers with me as you feel comfortable. It allows me to do my best to support you fully and cater our classes according to your unique experiences and needs.



  • Additional Information


  • Birth Ease Class Enrollment Agreement

    *This Course contains the opinions and ideas of its author. It is intended to provide helpful and informative material on the subjects addressed in the course. Upon submitting this enrollment form, it is understood that the authors and publishers are not engaged in rendering medical, health, or any other kind of professional services in this course. The enrollee should consult with their medical, health, or any other competent professional before adopting any of the suggestions in this Course or drawing inferences from it. The enrollee is aware that they are to seek the advice of their medical or licensed health care provider regarding any health, obstetric, or pediatric issues or concerns. The enrollee also understands that every pregnancy, labor, birth and postpartum period is unique, and that attending this course does not guarantee a specific outcome at anytime during the childbearing year. This course contains guided relaxation recordings and techniques. The enrollee understands that everyone's experience with the techniques is unique and will vary. The enrollee agrees to be guided through relaxation, creative visualization, and stress reduction processes and techniques. The enrollee fully acknowledges that they must avoid listening to the guided relaxation recordings while engaging in an activity that requires their full attention. The enrollee understands that they must be certain that they are safely seated or reclining in a supported position while utilizing the relaxation techniques and recordings. Unless the enrollee is the passenger listening to one of the guided relaxation recordings with headphones on, for everyone’s safety the enrollee must never listen to any of the recordings while driving or riding in a car. The authors and publishers disclaim all responsibility for any liability, loss, or risk, personal or otherwise, which is incurred as a consequence, directly or indirectly, of the use and application of any of the contents of this Course.
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