Birth Course Signup

Name

First Name

Last Name

Email

When is your due date?

Are you bringing your partner with you?

Yes

No

Phone

What date would you like to book?

19/8 2023

How do I pay for the course?

Confirm your spot by paying the full amount, 3300CZK using the bank details below:

Komercni Banka
Alexandra Rae Rodoni

123-7334890287/0100

IBAN: CZ16 0100 0001 2373 3489 0287

SWIFT: KOMBCZPP