FBP - Class Registration

Name*

FirstLast
Physician*
Phone*
Email*
Labor Support Person*
Relationship*
Expected Due Date*

MonthDayYear
Number of Children
SELECT YOUR CLASSES
Which class or classes would you like to attend?*

PRENATALBREASTFEEDING
Prenatal Class

Monday classes occur 6:30 - 9 pm on the FIRST Monday of the month listed.
Saturday classes occur 9 - 11:30 am on the FIRST Saturday of the month listed.
Prenatal Class Preference*

MONDAY EVENINGSATURDAY MORNING
Choose a Monday Prenatal Option*
Choose a Saturday Prenatal Option*
BREASTFEEDING CLASS

Breastfeeding class is offered every-other month.
All classes are 6:30 - 9 pm on the second Monday of the month offered.
Breastfeeding Class Month*
Please verify that you are human*
Should be Empty: