Registration Form

Register For:

Doula Care
Prenatal Classes
Birthin' Again Classes

After completing this form, please mail a check payable to Amanda Spakowski of the amount $0.00 (includes GST) to the address below.
Clients registering for doula care OR doula care with prenatal classes, may send a $100 deposit with postdated checks payable before your due date.

The Nesting Place
Attn: Amanda Spakowski
1253 Davenport Rd.
Toronto, ON M6H 2H2
Name(s)
Address
Email
Phone
 Second phone number
Preferred class dates
Month that you are due      Where do you plan to birth?     
Do you have children? If yes, how many?      Is this your first pregnancy?     
Who is your health care provider?
How are you feeling about your pregnancy and parenting at this time?
How are you feeling about your postpartum preparation at this time?
What have you done so far to prepare for this birth?
How did you hear about The Nesting Place?
Website Friend Magazine Referred By Other
Is there anything else you would like Amanda to know?
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The Nesting Place
amanda@thenestingplace.ca
thenestingplace.blog.com
416-722-3814

Toronto Doula Services                                              Toronto Prenatal Care