Comprehensive Prenatal Class registration
May 15 & 16 (online)
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? *
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.
Any other helpful information?
Your answer
Enter coupon code here:
Your answer
Can we add you to our Newsletter list? *
We do not rent or sell your private information
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 PayPal upon submitting this registration form, or via email money transfer to lee-ann@lactopialactation.ca
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