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Support Person's Name

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Address *

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City

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Postal Code

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State

Previous Birth Experience

Please note any previous experience with birth (i.e. been a support person or already have a child).

Expectations of the Workshop

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Additional Information

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Full payment or deposit of $100 can be made to: Account Name: Birth and Babes P/L BSB: 033-264 Account Number: 243322
Please leave your name as a reference when paying by bank deposit or online Or post cheque to 44A Avondale Drive, Wodonga 3690