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Enroll in our Childbirth Education Classes

Please fill in the information below to enroll in one of our Childbirth Education classes.

These details will be on the class contacts list. If you do not wish to share your contact details with the rest of the class please un-check "Share Contact Details".

BirthResources emails a newsletter monthly that provides you with information that is helpful for you as parents: articles of interest, links to services and upcoming events in the region. If you do not wish to receive this newsletter please un-check "Subscribe to email newsletter". Past newsletters will also be accessible via Members Area.

You should aim to finish your class 3 weeks before your baby is due.

You will receive the confirmation email with the details for payment.

Class:

Mother:

 

Partner:

Please provide the first name and the surname exactly as you want these to be when shared on the contact list.

Private email address:

 

Alternative Email:

Please use the email address when registering that you want all future emails and newsletters to be sent to.

Home Phone:

 

Cell Phone:

Alternative Phone:

 

Share Contact Details:

Postal Address:

Baby's Due Date:

 

Subscribe to email newsletter:

Additional Comments:


 
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