Latch On! Breastfeeding Class Registration
Full Name (as in IC) *
Your Phone Number (Please make sure this is correct) *
Email *
Estimated Due Date *
MM
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DD
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YYYY
Partner's Name *
Which session will you be attending
Clear selection
Is there anything you'd like me to know before we meet in class? Or any particular concerns you would like to share with me?
Please bank in RM 199 to Acc No. - 114302210260 Namrita Bendapudi (Maybank) and send a payment confirmation to Namrita at +60122204231 to reserve your spot. If you have already done so, please answer "done"
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