Registration


To register please fill the form here below:

Registration form
In case I need to reach you urgently in regards to the course
(I'll not share this info with anyone! I need it to better help you with NHS protocols)
Please enter your email, so I can follow up with you
Who will be with you during the birth? Please indicate name and - if you wish - the relationship
e.g.: St. Mary's birth centre
Estimated due time
Please list the worries or doubts you have, without thinking too much... simply put them down. I'll be better able to help you. They'll remain confidential.
Google search, HypnoBirthing directory, Facebook, referral from a friend, ...
By typing your name here, you are signing this form electronically and agree to my Privacy Policy.

To complete the registration and book the place, please use the below bank details for the payment of the fee.

Bank: HSBC, Account number: 81501909, Sort code: 40-07-06.
(Please use your first name as the payment reference, or I may not recognise where the funds are coming from)

Thank you