Birth & Baby Antenatal Booking Form
Session Dates
Your Name
Your Address
Home Email
Mobile Number
Where are you planning to have your baby?
What is your Estimated Due Date?
How did you hear about Birth & Baby?
With Janine Rudinwww.birthandbabycompany.com
[email protected] 5774279
Payment: By cheque: made payable to Janine Rudin
to: 32 Newcastle Street, North Shields, NE29 0DE
Online: Bank Transfer toJanine Rudin | Account: 08486600 | Sort: 089300
Your Birth & Baby Antenatal Course – circle the ones you would like to attend
One to One Consultations (£25 per hour)
Birth Basics (£40) Baby Basics (£35)
Relax & Breathe (£20)
Booking Policy
•Full payment to be made at booking - unless you ask to pay in instalments, which can easily be arranged
•A full refund will only be provided if I am unable to run a course
•If I am unable to run a session, an alternative session will be arranged. If you are unable to attend the rearranged session, a refund for that session will be provided
•If you are unable to attend a session, I may be able to offer an alternative session or a one to one session, which will cost an additional £15
•If you have any queries, please don’t hesitate to get in touch with me at: [email protected]
Signed................................... Date.....................................