Childbirth Education Class: Sunday, June 2018
Please complete this form and submit payment (via Paypal) to register for the childbirth education class June 2018 from 9am-5pm (includes an hour-long lunch break).
Potential Class Topics:
- Anatomy and Physiology of Pregnancy and Birth
- Physical and Emotional Stages of Pregnancy
- Pain Coping Techniques
- Birth Plans and Birth Planning
- How to Advocate for Yourself
- Labor Support
Full Name: *
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Phone: *
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Email: *
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Estimated Due Date: *
Concerns Regarding Your Pregnancy (if applicable):
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REMINDER: To complete your registration, please submit payment at
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