This is your registration form for the Cesarean Section Class with Liz at Birth and Beyond.

Class Fee: $90.00 payable to Lizabeth Baker-Wade, RN

Name____________________________

Phone Number_____________________

Due Date_________________________

Date of Class______________________

Class Fee__$90.00__________________

Check Number Enclosed_____________

Refunds are available for mothers who are placed on complete bed rest or deliver pre-term.

Please make checks payable to:

Lizabeth Baker-Wade, RN and send to:

Birth and Beyond
1750 Ocean Park Blvd. #206
Santa Monica, CA 90405
ATTN: Liz

Thank You,
Liz Baker-Wade, R.N.

www.birthandbeyond.net
Enrollment is limited. Please confirm availability prior to sending.