Hypnobirthing Enrolment Form

Congratulations! By buying one of my hypnobirthing courses you have just bought yourself a ticket to a better birth.

Please now complete this course enrolment form. And I look forward to working with you soon!

That said. If you have landed here accidentally? Click here to go to my main website.

Birthing Mother's/Person's Name (Required)

Course Location (Required)

Course start date (Required)

Approximate due date

Age

Mobile no (Required)

Full Postal Address inc postcode

Postcode

Occupation

Lead booker's email address (Required for all your course email resources)

Birth Partner's name (Recommended if attending)

Occupation

Do you suffer with Psychosis, a Needle Phobia or condition that may contraindicate hypnobirthing/hypnosis/visualisations? Such conditions may not exclude you but it is important that we discuss all your options & that your medial team are consulted. (Yes/No Required)

Where did you hear about this class? If Google - please give details

What do you hope to gain from your course?

Anything else you think I should know?

UK Hypnobirthing UK Hypnobirthing I understand that Steph McGee Hypnotherapy is UK based and is therefore under UK law & regulations. I understand that Hypnobirthing, Hypnotherapy and Hypnosis are not medical help or treatment.

Course Ts&Cs Course Ts&Cs I have read & agree to the course Terms & Conditions

GDPR GDPR I agree for Steph McGee Hypnotherapy to hold my details on file & on computer in accordance with GDPR Guidelines May 2018

Events, Offers & Meet ups Events, Offers & Meet ups Please send me future information from Steph McGee Hypnotherapy including mindful meditation, pre & postnatal pilates & social mama meet ups (my class or local events)

13 + 11 =