Women's Health

Class Registration

Interested in registering for one of our classes?  Complete the fields below to submit your class registration.  Please remember to register so that your classes are completed four (4) to six (6) weeks prior to your due date. Space is limited so please schedule your classes as soon as possible. All classes are scheduled on a first come / first served basis.

Community Education Information and Descriptions

Mom to Be's Name:
Support Person's Name:
Your Email Address:
Address 1:
Address 2:
City, State, Zip:
Doctor Name:
Due Date:
Secondary Phone:
Is this your first baby?
If not, sibling name(s) and age(s):  
Name, Date and time of chosen classes:
If a class has a per person charge, how many people will be attending?

Type the Image code: