Course Enrolment Form

Start date of course (dd/mm/yyyy): *

Course location: *

Baby's estimated Birth Day (dd/mm/yyyy): *

Is this your first birth? *

Mother's name *

Mother's date of birth *

Mother's Occupation *

Mother's Home Tel *

Mother's Mobile Tel *

Mother's Email Address *

Partner's Name *

Partner's date of birth *

Partner's Occupation *

Partner's Mobile Tel *

Partner's Email Address *

Where did you learn about Hypnobirthing and KGHypnobirthing with Amy? *

What do you hope to gain from KGHypnobirthing with Amy?

Anything else you think I should know

I confirm I have read and agree to the KGHypnobirthing with Amy TERMS & CONDITIONS as set out below *

(please tick to agree)

TERMS & CONDITIONS

Booking
A Booking does not constitute the creation of a contract and KGHypnobirthing with Amy reserves the right to decline to process a booking for any reason whatsoever. If the booking is not able to be fulfilled then KGHypnobirthing with Amy will promptly refund all monies.

Participant Cancellation
The fee will be repaid promptly and in full if your baby arrives before the course or in the very unlikely event of the course being cancelled by KGHypnobirthing with Amy. These are the only circumstances under which a refund will be made.

Course Cancellation
KGHypnobirthing with Amy reserves the right to amend or cancel any course, course times, dates, or published prices. Changes to course prices, times and dates will be advised before the course start date and any course already paid in full will not be subject to any price increase.

Intellectual property
Any recording or written material included as part of this course or arising from this course and all rights worldwide (including Intellectual Property Rights) relating thereto respectively are the sole property of Katherine Graves, KG Hypnobirthing Ltd, or others from whom such rights may be derived (whether or not protected by trademark and copyright laws) and may not be used other than for the personal use of the participant without obtaining prior written permission. The participant agrees not to record the course or any part thereof.

Disclaimer
Using KGHypnobirthing techniques is not a substitute for the advice of or the presence during birth or any part of pregnancy or labour of a qualified medical practitioner, midwife or obstetrician. It does not represent in fact or otherwise an alternative to appropriate medical care or for professional medical advice in any way shape or form.
Any questions or doubts that you have about the use of KG Hypnobirthing by you or any third party in any part should be discussed by you with your medical caregiver and the safety of or the appropriateness of this programme to you or any third party whom you represent be confirmed with your medical caregiver prior to undertaking the programme.

I agree for my KGHypnobirthing with Amy to hold my details on computer in accordance with GDPR Guidelines May 2018. *

(please tick to agree)

I would like to receive future information from KGHypnobirthing with Amy *

Yes please
No thankyou

“In giving birth to our babies, we may find that we give birth to new possibilities within ourselves.”
Myla & Jon Kabat-Zinn