Registration for Parenthood Workshop 2026

Thank you for your interest in joining our Parenthood Workshop 2026. Kindly complete this form to secure your seat.

Event Details

Date: Sunday, 7th June 2026
Time: 9:00 AM – 5:00 PM
Venue: Courtyard by Marriott Penang
Registration Fee: RM150 per couple

Kindly make online payment to:

Account Name: Adventist Hospital & Clinic Services (M)
Bank: CIMB Bank
Account Number: 8003948547
Payment Reference: Antenatal Class – Mother’s Full Name

Please upload your payment receipt in this form after completing the transfer.

Registration is confirmed only upon receipt of payment.
Seats are limited and will be allocated on a first-come, first-served basis.

Refund Policy
Please note that the registration fee is non-refundable once payment has been made, unless under reasonable and acceptable circumstances, subject to the organizer’s approval.

For Further Enquiries
Facebook Messenger: Kangaroo Breastfeeding Support Group
Email: kangarooclub@pah.com.my
Contact: 012-496 7670 / 04-222 7709

7th June 2026

Email*

example@example.com

Are you an expectant parent or new parent? (Kindly note that this class is for expectant parent and new parent only)*

Phone Number*

Please enter a valid phone number.Format: 000-0000000.

Housing Area*

Exp: Bayan Lepas

By accepting the FREE gift/samples, you agree to disclose your name, email, expected date of delivery (EDD) to the sponsors.*

Expected date of delivery (EDD)

Date

Mother's name (as per IC)*

Identification No.*

Mother's age*

Mother's occupation*

Father's name (as per IC)*

Identification No. *

Father's age*

Father's occupation*

YesNo

Which hospital and doctor are you and your partner choosing for delivery? or which hospital do you usually visit for check-ups?*

FacebookFriends & relativesHospital staffHospital website

NoYes, mother is a staff of PAHYes, father is a staff of PAHYes, both parents are PAH staff

Comment(s) and/or question(s)?

Proof of payment*

Upload your proof of payment here