Comprehensive Prenatal Breastfeeding Class registration
Jan 22 & 23 (online)
* Required
Birthing parent's name
*
First and last
Your answer
Your email address.
*
we will contact you to confirm registration & provide class details.
Your answer
Partner/Support person
*
first and last name and relationship
Your answer
When is your baby expected?
*
"due date"
MM
/
DD
/
YYYY
What do you hope to get out of this class? Any specific questions you would like answered?
Your answer
How did you find out about this class?
*
Doula/Midwife referral
Friend
Facebook
Poster/Advertisement
Google Search
Other:
Required
Are you interested in receiving information on any other classes?
All classes are provided through Lactopia, we do not sell your information. Check all that apply.
babywearing
birth preparation
cloth diapering/elimination communication
car seat safety
classes for grandparents
infant sleep
breastfeeding after the early weeks/starting solids
breastfeeding advocacy
Other:
Any other helpful information?
Your answer
Enter coupon code here if applicable:
Your answer
Can we add you to our Newsletter list?
*
We do not rent or sell your private information
Yes
No
Other:
Payment Information
Full payment ($85) must be received to guarantee your spot. Refunds (less 10% administration fee) will be accepted up to one week prior to class. If you need to cancel within the week of class, your payment will be transferred to another Lactopia service.
Payment can be made via email money transfer to
lee-ann@lactopialactation.ca
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