Prenatal Class Registration Form
Please contact us at (780) 459-4357 prior to registering to ensure that there is space.
Mother's name
Partner's name
* If you are a Birth Doula client, please skip the following 10 questions. If you are not using our Birth Doula services, please fill out the following:
Class you are registering for March 17 & 24 2007, in Sherwood Park May 5 & 12, 2007, location TBA July 21 & 28 2007, location TBA September 8 & 15, location TBA November 3 & 10, location TBA
What are you hoping to learn from this class?
Have you attended prenatal classes in the past? No Yes I have, my partner has not I have not, my partner has
· Classes are taught at either our Sherwood Park or St. Albert locations. Please indicate which location works better for you Sherwood Park St. Albert (please note that location is dependant on the number of registrants, where the majority of registrants are coming form, etc.) We will contact you with the location and directions a few days prior to the class.
· All classes start at 10 a.m. and finish at 5:00 p.m. with a break for lunch. Please arrive a few minutes early so that class is not delayed.
· Please bring a potluck dish for sharing between 4 to 6 people. Doula Connections will provide beverages. A kitchen is available if something needs to be kept cold or heated in the microwave. Please indicate here if you or your partner have any food allergies
· The cost of your class is $100.00. Once you have submitted this form, you will be given your choice of payment options.
We look forward to seeing you in our classes!
(C) Doula Connections. All Rights reserved. Last update January 28, 2007