Childbirth Ed Registration

Name*

Email*

Phone*

Partner's name*

Address*

Estimated Due Date*

Choose Childbirth Ed Class Option*

Payment Sliding Scale*

Form of Payment*

How to Pay:

Once your registration is submitted, I will email you with details on how to pay.

Please note, your spot will not be reserved until the registration fee is paid.

*Fee is transferable to another class or will be refunded if birth of baby happens before class starts.