Childbirth Education Scholarship Application  
If you and/or your partner would like to take a childbirth education class, but are worried about cost, the Good Beginnings Childbirth Education Scholarship Program might be able to help.

You may apply for a scholarship of up to a maximum of $125 towards the cost of a childbirth education class if you: 1) live in the Good Beginnings service area, 2) have a health insurance plan that does not include the cost of childbirth classes, and 3) demonstrate financial need. Please read the eligibility criteria on our website before completing this application.  

Scholarship applications are reviewed monthly. A limited number of scholarships are available, contingent on funding. Good Beginnings may ask for supporting documentation or further explanation from applicants, on a case-by-case basis.  
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Today’s Date *
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Name (Pregnant Person): *
Name (Partner):
Address: *
Phone: *
Email: *
When is your due date? *
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Who is your health insurance provider? *
Does your health insurer cover childbirth education class fees? If you are not sure, please check with them first before applying. *
What is the name of the Childbirth Education Class you are hoping to take? *
What is the fee for the Childbirth Education Class you are hoping to take? *
When does the class start? *
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Have you registered for the class already?   *
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