Class Registration
Complete this form to register for your Childbirth Class! I will contact you within 24 hours to confirm registration and give you more details.
Hybrid Class meetings can be virtual or in person!
All In person classes are held at:
Kansas CPR, Inc
712 S Kansas Ave, Ste 104
Topeka, KS 66603
Dates and times vary based on class type.
* Required
In Person Class Calendar
May 22nd - Basic Training (2 weeks) | Saturdays 9am - 1pm | $125
June 4th - Comprehensive Course (10 weeks) | Fridays 6:30 - 9:00pm | $300
Other:
First and Last Name
*
Your answer
Partner's First and Last Name
*
Your answer
Email Address
*
Your answer
Mailing Address
*
Your answer
Phone Number
*
Your answer
Estimated Due Date
*
MM
/
DD
/
YYYY
Preferred Contact Method
*
Text
Phone Call
Email
How did you hear about my classes?
*
Internet Search
Social Media
Your Website
Referral
My Blog
Other:
What Style of Class are You Looking For?
*
In person
Hybrid (Online course with interaction and support from me weekly or biweekly)
Online Only
Required
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