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Preparing for Pregnancy Workshop Registration

Please fill out the form below to the best of your ability and submit to register for the workshop. After you submit this form, you will receive an email with information about the workshop.

First Name*

Email*

Are you currently pregnant?*

Yes

No

Is this your first pregnancy?*

Yes

No

How far along are you in your pregnancy?*

Have you experience any complications with your pregnancy so far?*

Have you taken or are you currently registered for any other labor classes?

What are you hoping to gain from this class?

Do you have any questions for Dr. Soni that you would like her to answer during the live workshop? If so, please type them below.

Are you currently a patient at Pelvic Elements?*

Yes

No

I am a former patient

Where did you hear about this workshop?*

Facebook ad

Google search

Social media

Recommended by a family member, friend, doctor, etc.

Other