Registration

Registration

You can register for the class by using any of the two methods below:

By filling form below and mailing with the check to the address on the form (you can also use PayPal):
Registration form in Word format (could be filled and emailed)
Registration form in PDF format (could be mailed)
By electronically submitting form below and paying with PayPal.

I will confirm all registration as soon I receive them. Please follow up with me if you did not hear from me.

Electronic Registration Form (* required fields):

Name*:
Address*:
Email*:
Occupation:
Name of the person who will be attending class with you:
Relationship to you:
Phone* (List as many as you want. Use an asterisk * to indicate which is the best to reach you day of class incase of emergency cancellations):
Where do you plan to give birth:
Name of Midwife/Doctor:
Due Date*:
Name and date of class you are* registering for:
How did you hear about the class:
Height*:

Electronic Payment Form: