Virtual Prenatal Breastfeeding Education Group Class Registration Form
After completing the registration form you will receive an email with instructions for payment. The fee for this class is $60 + HST, and it includes registration for the breastfeeding person as well as 1 support person. You will be emailed the link for the meeting on the morning of the class. You will not be emailed the link for the meeting if payment has not been received. Thank you! Jess Kuypers ~
Which Class would you like to register for?
Sunday March 21, 2021 (1pm - 3pm)
Thursday April 15, 2021 (6:30pm - 8:30pm)
Name of breastfeeding person
Name of support person:
Estimated Due Date:
Where do you live?
Please list any questions you may have that you would like me to address in the class. Note, you are also welcome to asks questions during class.
How did you hear about this class?
Family, friend or colleague
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service