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Name *

First

Last

Phone Number *

Email *

How did you hear about us? *

Google
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Word of Mouth
A friend
I already practice at Breathing Room
Other

Where abouts are you in your prenatal journey?

First Trimester
Second Trimester
Third Trimester

When is your due date?

This is your...

First Pregnancy
Second Pregnancy
Third Pregancy
Oh honey, I'm raising a tribe of amazing humans

How are you physically feeling?

Gahhh, I miss feeling normal
Pretty good, considering I'm growing a human
I'm not a complainer, I'm just rolling with is
Every day is different
Lots of ups, lots of downs

Have you been experiencing any aches, pains in your pregnancy? If so, care to tell us about them? *

Do you feel like you have a good support system when baby comes? Would you care to tell us about it? *

Our Prenatal + Postnatal classes are designed to empower and support you throughout the profound transformations of motherhood. We invite you into a space dedicated to strengthening your body, cultivating an intimate relationship with yourself (and your baby), and connecting to a wonderful community of mothers. Would you us to keep you posted on our upcomig Postnatal programming? *

Yes
No

Are you aware of our Motherhood Membership? Our NEW Motherhood Membership offers expecting and existing moms a welcoming community to focus on physical + mental wellness. For $69/month (Sept - June), members will have access to unlimited Breathing Room classes, as well as twice weekly prenatal and postnatal options (2 x prenatal classes, mom + baby + yoga HIIT, mom + tot + yoga HIIT). This membership allows access to motherhood related talks from local experts + professionals. These talks range from breastfeeding tips, prenatal/post natal + baby nutrition, pelvic health and how to navigate good 'ol mommy guilt. Putting moms in touch with local resources in an inclusive and welcoming environment is a huge benefit in joining this membership. We have a limited number of Motherhood Memberships available. *

We'd like to offer you 40% off your first month of a Motherhood Membership. Space is limited, so please reach out to us ASAP. Already paid for an 8 week Prenatal session, not to worry! Your money can be transfered over to begin your membership with us. Please note: this special discount applies to membership commitments of 4 months or longer. *

Please emial us at info@breathingroomreddeer.com for more details.

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