Holistic Mamas Parenting Clinic Intake Form

The Women’s Resource Centre, in partnership with Simply Bloom Bermuda, is pleased to offer parenting clinics to our community. Spaces are VERY limited and will be offered in the order registration is received.

This registration form must be completed in full in order to attend a WRC Parenting Clinic. All information gathered in this form will be stored securely and used for the purpose of this parenting clinic only.

WRC reserves the right to refuse or defer your registration if a conflict of interest is identified by our team.

Donations towards your service are not required, but greatly appreciated to ensure we can continue to provide this essential service to women in the community.

CLIENT INFORMATION

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Growing Together: Nutrition For Pregnancy Workshop Intake Form