Weekend Childbirth Education Class Registration

Mother's Name & Support Person/Husband: *

Phone: *

Email Address: *

What pregnancy is this for you?: *

Due Date: *

Doctor/Midwife: *

Have you had any problems with this or a previous pregnancy?: *

Session: *

Saturday: April 28, 2012

Saturday: June 23, 2012

Saturday: September 1, 2012

Saturday: November 10, 2012

Saturday: December 8, 2012

Please call the Birthing Center (419-678-5670) to cancel if you no longer wish to attend a class you signed up for. Registration for classes can also be done by calling the Birthing Center.

NOTE: All Weekend Childbirth Preparation and Mom/Baby Classes are held from 8:30 to 3:30 on Saturday & 12:30 to 4 on Sunday.

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Weekend Childbirth Education Class Registration