Pick Your Date & Location (please sign up only once per couple)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
Sign in to Google to save your progress. Learn more
White Plains
210 Westchester Avenue, White Plains, NY   3rd floor Conference Room
Ridge Hill
73 Market Street, Yonkers, NY Greystone Conference Room
Rye
1 Theall Road, Rye, NY Playland Conference Room
First Name: *
Last Name: *
Enter your email *
How did you hear about this event?
When is your due date? *
MM
/
DD
/
YYYY
Who is your doctor? *
Are you a current WESTMED patient?
Clear selection
For questions please email
Donna Guthartz at donnawestmed@gmail.com or
Meg Serraro at megwestmed@gmail.com

YOUR INSTRUCTOR WILL SEND YOU A PAYPAL INVOICE FOR THE FEE OF $175. PER COUPLE. WHEN PAID, YOUR PLACE IS SECURED IN THE CLASS.

Kindly sign up only once. Thank you
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms