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Please complete the form below ...

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Name *

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Email *

Phone Number *

(We only use your phone number if we need to confirm information or if something bounces back. We solemnly swear not to spam you with texts.)

What are your pronouns? *

They/them She/her He/him Let me write my own in:

This helps us understand the best way to address you.

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What services are you interested in? Check all that apply. *

Labor Doula Services Placenta Encapsulation Lactation Support Postpartum Doula Care Apprentice Doula Services Planned Cesarean Support Package Bereavement and Infant Loss Support Doula Apprenticeship Program Info

Estimated Due Date (if applicable)? *

Please tell us your city of residence: *

Where are you planning to give birth? *

Who is your current Midwife or OB? *

If not applicable, please write N/A. Thank you!

How can we help you? *

How did you hear about us? *

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Please choose all that apply.

We respond to every contact form we receive. After submitting your form, please keep an eye on your spam/junk folder. We've found that our emails often end up there! Thanks!

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Or reach us at ...

info@beathensborn.com

706-223-0808

Honored to serve the families of Athens, GA and the surrounding areas.

There are lots of ways to get in touch with us...
pick your favorite!

Telephone

706-223-0808

Email

info@beathensborn.com

Photo used under Creative Commons from torbakhopper

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ABOUT
SERVICES
CLIENTS
CONTACT
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AthensBorn Shop