Virtual 4th Trimester Class Registration (JK Birth and Breastfeeding)
Please complete the form below to register for a Virtual 4th Trimester Class by Jess Kuypers - Birth and Breastfeeding. This class is a 6-week series where we discuss important postpartum topics for parents and babies. We will meet online through Google Meet for 1-hour each week. After you submit your registration form, you will receive an email with payment instructions. The total fee for this class is $130 + HST. Payment must be received in order to participate in the classes. Thank you! Jessica Kuypers ~
www.jkbirthandbreastfeeding.ca
**Please note, pending approval from the Health Unit, summer and fall classes may be held outside in Springwater Township**
* Required
Which series dates would you like to register for?
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Tuesdays: May 4 - June 8 {1pm - 2pm}
Mondays: July 5 - August 16 {10am - 11am} ~no class August 2
Tuesdays: September 7 - October12 {10am - 11am}
Mondays: November 1 - December 6 {1pm - 2pm}
Name of participant:
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Your answer
Email address:
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Your answer
Baby's name:
Your answer
Baby's birthdate or estimated due date:
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MM
/
DD
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YYYY
How did you hear about this class?
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Facebook
Instagram
Family, friend or colleague
Other:
Are there any topics you would like me to cover during this series? Please list them below.
Your answer
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