The Baby Class
Please complete the information below to register for The Baby Class. Payment is due at the time of registration to secure your spot.
Which session are you registering for?
January 13 in Chantilly
January 27 in Winchester
March 9 in Chantilly
March 23 in Winchester
Full Name
*
First Name
Last Name
Spouse/Partner Name
*
First Name
Last Name
Relationship Status
*
Please Select
Married
Common Law / Partnered
Separated
Divorced
Other
None
Due Date
Or baby's birth date if already born
Baby's Gender
Boy
Girl
Surprise
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
E-mail
*
How did you hear about The Birth Class?
*
We cover a wide variety of topics in our class. What topics are you most interested in?
*
breastfeeding
baby wearing
bathing
cloth diapering
disposable (paper) diapering
dressing
baby health and wellness
postpartum well-being
car seat safety
baby sleep/nighttime parenting
Additional Comments or Requests
Class Payment - Payment screen will open after form submission.
*
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The Baby Class - Full Payment
$
200.00
The Baby Class - 50% Deposit - Remainder due at start of class
$
100.00
Enter coupon
Apply
Total
$
0.00
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