Ready to Become a Client?

1. Online:

​Complete the Blossom Client Registration Form below and we will be in contact with you by email. 

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2. By phone:

Give us a call at (778) 297-1678 (extension 2) Wednesday-Friday from 10:00 AM-4:00 PM

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Mother Breastfeeding Baby
Blossom Birth Program Client Registration
Do you have BC MSP?

When is your due date? 

Is this your first baby?
Where do you plan to give birth?
Are you fully aware of and consent to the use of Electronic Communication? https://www.blossombirthprogram.com/blossom-forms

Thanks for submitting!