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True Self Sessions

Claire Brock, MAEd, BCSW, LMBT

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INNATE Postpartum Care
Planning for the 4th Trimester

Waitlist Form

Thank you for sharing your interest. You will receive an update when the next course dates are released.

First Name

Last Name

Email

Phone

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Country

Father or Support Person Attending

Approximately when will baby be born? (Or when expecting to conceive)

Tell us about your interest in the class. What do you hope to gain?

Where did you hear about the course?

Feel free to reach out to Claire directly at (336) 462-8285 for questions and resources.

Thanks for submitting!

True Self Sessions

Claire Brock

MAEd, BCSW, LMBT#20456

6725 Shallowford Rd, Suite 200

Lewisville, NC 27023

Mobile (336) 462-8285

©2021 by C.Brock

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