Childbirth Class Registration

ATTENTION: Your registration is not yet complete. Please fill out the form below. Only individuals who have completed payment for a course should fill out the registration form. Your information is kept confidential and will not be shared with third parties.

When filling out this form, please include an e-mail that you check regularly. You will receive an e-mail 1-2 days before class with instructions. Also, be sure to include the best phone number to contact in the event that I need to reach you in case of emergency.

Note: You must complete all fields of the form to ensure registration is complete.

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