Childbirth Class Registration

Childbirth and Infant Care/Lactation Class

Please complete this form to register and make payment. Future parent and one support person are allowed per reservation.
Future Parent's Name

First NameMiddle InitialLast Name
Support Person (not required, but recommended.)

First NameMiddle InitialLast Name
Phone Number.

Area CodePhone Number
Alternate Phone Number

Area CodePhone Number
Estimated Due Date for Current Pregnancy

Sunday, May 17th Infant care and breastfeeding only $100.00

Sunday, May 17th ~ 1pm to 4pm : By ZOOM. We will break for lunch.

Sunday, May 31st Combo - Childbirth plus infant care and breastfeeding$175.00

Sunday, May 31st ~ 10am to 6pm : both childbirth and breastfeeding/infant care in one day. IN PERSON. We will break for lunch. Lunch is on your own.

Total $0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

We will email you a confirmation, and details for the class.
Please type your email address.
For the Childbirth Class - Please bring a yoga mat and one or two pillows. Wear comfortable, non-restrictive clothing.
If you have questions about your payment or would like to cancel your reservation, please email corporate@omegaogyn.com. Cancelation at least 3 days prior to class is allowed for a full refund. Unfortunately, if you cancel less than 2 days or fewer before your reserved class date, no refund is available.
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Childbirth and Infant Care/Lactation Class