Course Enrollment Form

Born in Trust

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Course Enrolment Form

Thank you for enrolling! I look forward to seeing you there.

Name *

Email address *

Telephone number *

Document number NIE/passport *

Address *

Name of birth partner *

Which course are you enrolling in? *

Online Group Course
In Person In Malaga Group Course
1-Day Birth Prep Intensive In Person
1-Day Birth Prep Intensive Online

How far along are you in your pregnancy?

What is the ETA (estimated time of arrival) of your baby

Are you satisfied with how your pregnancy journey has been so far?

What is at the moment the biggest challenge you encounter during pregnancy?

For what would you want to receive support so your pregnancy would be (even) more enjoyable? *

Will this be your first birthing experience?

If this is a subsequent birthing experience, how do you look back on it?

What is important to you for the birth of your baby?

Can you describe what your ideal birth experience looks like?

What do you see as the biggest obstacle for obtaining your desired birth?

What do you hope to gain from the HypnoBirthing Group Course?

How did you find Born in Trust? *

Google
Instagram Born in Trust
Facebook group
Facebook page Born in Trust
Whatsapp group
Other care provider
Recommendation other mom/dad
Other

If recommended, who referred you to Born in Trust?

Is there anything you think is useful to share? *

Are you aware of any contraindications for hypnosis, such as, but not limited to; epilepsy, psychosis, depression, serious/current heart condicion, any other medical condition that could count as contraindicated

Contraindications *

I have no contraindications that I am aware of
I have contraindications and contacted my doctor. I can participate without problem and understand this is my responsibility.

I am aware that it is my duty to submit truthful information. *

Yes

Disclaimer & Consent

By enrolling in this course I confirm that I am doing so of my own free will. I understand that this programme teaches relaxation and natural birthing techniques and does not constitute medical advice or replace the guidance of a qualified healthcare provider. I will continue to seek medical advice for any health or pregnancy-related concerns.

I agree that Born in Trust and its instructor shall not be held liable for any circumstances arising from my pregnancy, labour, or birth, and I waive any right to make a claim against them now or in the future.

I have read and agree to the disclaimer above *

Yes, I agree

Photo & Video Consent

Born in Trust may take photos and/or videos during sessions for educational and promotional purposes (print and digital), in accordance with Article 18 of the Spanish Constitution and Ley 1/1982.

Permisions granted

I consent to photos and/or videos being taken and used by Born in Trust.
I consent to photos and/or videos where my face is not recognisable
I prefer not to be photographed or filmed.

I have read and agree to the terms of service found on the website of Born in Trust

THANK YOU FOR ENROLLING!

After submitting this form, you'll receive an email from me with the invoice. You can pay by bank transfer or Bizum. Your spot in the course is confirmed once payment has been received.

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Your data will be treated confidentially. Read the privacy statement here.

Born In Trust - Empowering families for a positive birth experience!

DISCLAIMER

The user assumes all responsibility and risk for the use of this website and/or any other sites which are linked to this site. The material and information contained on this website is for general information purposes only. I am no doctor or health care professional and I do not know your personal circumstances. The information provided is in no way to be seen as personal or medical advice. You should not rely upon the material or information on the website as a basis for making any decisions, health related or otherwise.

I urge you in any case to think for yourself, take responsibility and be critical of all information found on my website and anywhere else, gather as much information as you can and make your own informed decision. When in doubt consult trusted specialist in the field.

Whilst I endeavour to keep the information up to date and correct, I make no representations or warranties of any kind, express or implied about completeness, accuracy, reliability, suitability or availability with respect to the website or the information, products, services or related graphics contained on my website and/or any linked sites for any purpose. Any reliance you place on such material is therefore strictly at your own risk. I amnot be liable for any false, inaccurate, inappropriate or incomplete information presented on the website of Born in Trust nor on a site linked via this website.

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