Course Registration Form

Your payment has been processed.

Please complete the registration form below to complete your course booking.


Please be confident that the information you enter is required to enable Julie to send you the information about the course that you will be attending.

Please take the time to fill the form in completely and accurately, including at least your mobile phone number, to help Julie contact you easily, to maintain communication between us.

Your details are never shared, your privacy is assured. Julie is the only person who ever reads your details and she promises she’ll not share your details with any other commercial enterprise ever.

Yes, you can definitely trust Julie.

Payment is required to secure your position in any course unless by other special arrangement made with Julie directly either by phone or email…

Select the Course(s) You Have Enrolled – put the dates required in the special notes box at the end of this form.


Mindful BirthTransition into Parenthood




Your first names as you'd like them to appear on class nametags

Her Details

His Details

Your Address*






Name of planned Midwife/Doctor

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