Lactation Course: Breastfeeding Basics

Thank you for investing in your lactation education!

I am so happy to have you (and your partner/ support person) as a part of the

Breastfeeding Basics Course!

The course fee is $65, including life-time access to the self paced video course and a one-on-one 30 minute virtual session with your personal IBCLC,

Anna of Sacred Mama Denver.

Name

First Name

Last Name

Phone

(###)

###

####

Estimated Due Date

YYYY

Partner/ Support Person's Name

First Name

Last Name

What are you hoping to learn about within this course? Do you have any specific concerns about lactation?

Lactation Support

Do you have lactation support? Family, friends, peers that have/ are lactating? Have you read any books on lactation? Have you been to a La Leche League meeting?

Class Agreements

I/We fully understand and agree that this course is non-refundable. Due to the nature and information of this course, adult topics and information will be discussed. Children are welcome to attend if their supervising adult feels comfortable with the subject material. I/We agree to and understand the content of this course is not to be shared without prior consent.

Consent to Class Agreements

Payment

Class total is $65. Payment via Venmo is preferred. You will be sent directly to my Venmo acct for payment after submitting this form. Check the box below if you need alternate payment method:

Schedule 30 minute virtual session:

Please provide three days/ times that work for your schedule for our 30 minute virtual session -- note this should be after you have completed the course