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Blossoming Bellies Infant Nutrition and Solid Food Introduction Class Registration
Name
*
Age
*
Preferred Pronoun
Partner's Name (if applicable)
Partner's Age (if applicable)
Partner's (if applicable) Preferred Pronoun
If applicable, will your partner be attending the class?
Yes
No
Name/Age of Child(ren)
Will your child(ren) be attending the class?
Yes
No
Class Date/Time/Location
*
Mailing Address
*
Email Address
*
Phone Number(s)
*
Baby's Birth Date
*
Where did you hear about Blossoming Bellies classes?
*
Is this your first time parenting?
*
Where was your child born?
*
Please briefly describe the nutritional intake of your child from birth through the present.
*
Please describe any prior experience you have with solid food introduction.
*
What specific questions do you have regarding infant nutrition and solid food introduction?
*
Infant Nutrition and Solid Food Introduction $40