Class Registration Form

Contact Information

Billing (281) 626-5271
Scheduling (281) 305-0411

Bayou City Breastfeeding Childbirth Class Registration

Thank you for your interest in Bayou City Breastfeeding's Push It Real Good Childbirth class!

Seating is limited!!!!!

In order to reserve your spot, fill out the fields below to register and pay for the class.

First Name

Last Name

Address (Including City, State, and Zip Code)

Email address

Phone Number for Text Messages

Name on Card

Credit Card Number

Expiration Date

CCV (Security Code)

Payment Authorization

I authorize Bayou City Breastfeeding to charge my card $250 for the childbirth class.

Communication Authorization

I authorize Bayou City Breastfeeding to send me text messages related to my registration, class participation, and billing.

You may be contacted by our scheduling department from (281)305-0411 or our billing department from (281)626-5271

Cancellation Policy: Your class time is reserved just for you. A late cancellation or missed visit often means that another family was not able to attend. As such, we require 48 hours notice for any cancellations or changes to your class attendance. Participants who provide less than 48 hours notice, or miss their class, will be charged a cancellation fee. Missed class - client will be charged the full class fee. Within 24 hours - fee of $100. Within 48 hours - fee of $50. More than 48 hour notice - no cancellation fees will apply.

I am aware and agree to Bayou City Breastfeeding's cancellation policy

Email address

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