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HypnoBirthing Group Course

Your journey to a positive and empowered birth!

✔️ You master the Spanish maternity system, choose your best care provider, and create the ideal birth environment for your wishes.

✔️ You vividly envision your birth and clearly communicate your preferences to your healthcare provider

✔️ You are confident thanks to the knowledge and tools provided, ensuring a beautiful birth experience and you enjoy the rest of

your pregnancy knowing you will rock this!

✔️ Your worries & concerns are eased, you handle pain effectively, and you lower the chances of interventions - you will experience childbirth

with confidence!

✔️ You take charge of your birth - ask the right questions, ensure your voice is heard and you know your options and rights in pregnancy,

childbirth and postpartum. You are making informed choices that align with your preferences.

Name *

Email address *

Telephone number *

Document number *

Address *

Name, document number and contact number of birth partner *

Desired Start Date Private Course Date

How far along are you in your pregnancy?

What is the ETA (estimated time of arrival) of your baby

Are you satisfied with how your pregnancy journey has been so far?

What motivated you to seek support at this time?

What is at the moment the biggest challenge you encounter during pregnancy?

For what would you want to receive support so your pregnancy would be (even) more enjoyable? *

Is this your first pregnancy?

Is this your first or subsequent birthing experience?

If this is a subsequent birthing experience, how do you look back on it?

Have you visited any healthcare providers during this pregnancy? Which ones?

What is important to you for the birth of your baby?

Can you describe what your ideal birth experience looks like?

What do you see as the biggest obstacle for obtaining your desired birth?

What do you hope to gain from the HypnoBirthing Group Course?

Are there any concerns or fears you would like us to address?

Where did you learn about HypnoBirthing?

How did you find Born in Trust? *

Google
Instagram Born in Trust
Facebook group
Facebook page Born in Trust
Whatsapp group
Other care provider
Recommendation other mom/dad
Other

If recommended, who referred you to Born in Trust?

Is there anything you think is useful to share? *

Are you aware of any contraindications for hypnosis, such as, but not limited to; epilepsy, psychosis, depression, serious/current heart condicion, any other medical condition that could count as contraindicated

Contraindications *

I have no contraindications that I am aware of
I have contraindications and contacted my doctor. I can participate without problem and understand this is my responsibility.

I am aware that it is my duty to submit truthful information. *

Yes

I hereby state that I am enrolling in the HypnoBirthing® class of my own free will and with the understanding that this is a program designed to teach me to use my own natural abilities to bring my mind and my body into a state of relaxation. I further understand that the content of these classes is in no way intended to be represented as medical advice nor as a prescription for medical procedure. I am aware that I should seek the advice of a health-care provider to answer any health-related or pregnancy-related issues surrounding my pregnancy, my labor, or my birth.

I therefore agree that I will in no way hold the instructor of the HypnoBirthing® classes, or the HypnoBirthing Institute®, its owner, or its representatives responsible for any special circumstances that could arise as a result of my pregnancy, my labor, or the birth of my child; and I agree that neither I nor any member of my family will make any claim or initiate any suit against any of the above-named parties now or at any time in the future.

I agree to this statement. *

Yes, I agree

Subject: Photos and or videos taken during the course or meeting

The right to self-image is recognized in Article 18 of the Spanish Constitution and regulated by Law 1/1982, of 5 May, regarding people’s right to honor, personal and family privacy and their own image (Derecho al Honor, a la Intimidad Personal y Familiar y a la Propia Imagen), as well as Law 15/1999, of 13 December, on Personal Data Protection.

Permisions granted

Therefore I grant to Born in Trust, its representatives and employees the right to use images of me/us/our baby in connection with the above-identified subject.
I authorize Born in Trust, its assigns and transferees to copyright, use and publish the same in print and/or electronically.
I agree that Born in Trust may use such images of me/us/our baby with or without my name and for educational and promotional purposes.

I have read and agree to the terms of service found on the website of Born in Trust

Leave this field empty

Your data will be treated confidentially. Read the privacy statement here.

Born In Trust - Empowering families for a positive birth experience!

Certified HypnoBirthing Practitioner Seal