MAYA Class Registration
Please let MAYA know when you are attending classes by filling out the form below. Entering your email address allows you to receive a message reminding you of your registration dates and times.
Client Name (Partner Name in Parentheses, if applicable)
Include first AND last name.
Due date, if pregnant
If not pregnant, youngest child's date of birth
How did you find out about our programs?
Medical Professional or Social Worker Referral
Hospital Outreach by MAYA staff
Social Media (Facebook, Instagram, etc)
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