Please complete the following information for our class list.
Your information will not be shared with any outside parties.
Mother's first name:
Mother's last name:
Partner's first name:
Partner's last name:
Day-time phone #:
Evening phone #:
North West Territories
Please select a class from the drop-down menu below.
Summer Series 1: 6 Monday sessions starting June 13th ending July 18th, Coquitlam
Fall Series 1: 6 Thursday sessions starting October 10th ending November 14th, Coquitlam
Fall Series 2: 6 Monday sessions starting October 21st ending November 25th, Maple Ridge (no class Remembrance Day)
Spring Workshop 5: Sunday, May 26th and June 2nd, Port Moody
Spring Workshop 6: Sunday, June 16th and 23rd, Maple Ridge
Summer Workshop 1: Sunday, July 7th and 14th, Port Moody
Summer Workshop 2: Sunday, August 18th and 25th, Maple Ridge
Fall Workshop 1: Sunday, October 6th and 13th, Maple Ridge
Fall Workshop 2: Sunday, October 27th and November 3rd, Port Moody
Winter Workshop 1: Sunday, December 8th and 15th, Maple Ridge
Private classes: Two 2-hour sessions. Call or email to book dates ($190 + mileage)
Preferred method of payment:
Where do you plan to give birth?
Plans for your birth?
Doctor or Midwife's name (or name of practice):
Medical complications (if any):
How did you find these classes?
Referral from friend