Class Registration

Please fill out the form below to register for an upcoming class series.

Upon submission of this form, you agree that you are responsible to pay the course fee, which is outlined here, and you will receive an invoice
You can expect to receive a response from Rachel within 48 hours; feel free to email, call, or text Rachel if you have not received an email in that timeframe
As the first class approaches, you will receive more information and consent forms to sign via email
For private classes, Rachel will contact you upon form submission to schedule the classes.

Name

First Name

Last Name

Email

Phone

(###)

###

####

Address

This is where your course materials will be shipped to.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Which class series are you signing up for?

How did you hear about Fields Fertility Education?

For what reasons are you enrolling in a course?

Any questions/comments?

Please do not include sensitive information.

15-minute call to discuss your questions and determine which class is best for you.

Cost: FREE (Any additional calls are $25 per 30 mins.) Class offerings and costs are subject to change.