February 8 & 9 (Sat/Sun)

COST: $395 per couple (plus gst)
$50 deposit required upon registration to hold your spot
$345 due 30 days prior to class 1

Individual

Discount Code

Who gave you gift certificate/coupon?

First Name (Expectant Mother) *

Last Name (Expectant Mother) *

Email *

Expected Due Date *

Is this your first baby? *

Yes No - I have 1 child No - I have 2 or more children

Partner's Full Name *

Partner's Email (optional)

Name of Doctor/Midwife *

Name of Doctor/Midwife Clinic *

Are you on a waiting list for midwives?

Yes No

Phone *

Address *

City *

Province *

Postal Code *

How did you hear about us? (Please provide name so we can say thanks!) *

Anything you'd like us to know?