BirthWorks Educational Course Registration Form
Your Name
*
First Name
Last Name
Preferred Name and Pronouns
Your Email
*
example@example.com
Phone Number
*
Estimated Due Date (If expecting)
-
Month
-
Day
Year
Address. Virtual participants will be sent a workbook.
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Will your partner or another support companion be joining you for the entirety of the course?
*
Yes
No
Partner/Support Contact Information
Support Person's Name
*
First Name
Last Name
Support Person's Email
*
example@example.com
Support Person's Relationship To You
Class Selection
BirthWorks Classes 2025. Each course meets for 3 weeks, please make arrangements to attend all 3 weeks.
*
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March BirthWorks - In Person (2025)
March 9th, March 16th and March 23rd Sunday Afternoons from 2pm-6:30pm EST We will meet at 1108 W Washington St, Marquette MI
$
Free
July BirthWorks - In Person (2025)
July 13th, July 20th and July 27th Sunday Afternoons from 2pm-6:30pm EST We will meet at 1108 W Washington St, Marquette MI
$
Free
August BirthWorks - In Person (2025)
August 10th, August 17th, August 24th Sunday Afternoons from 2pm-6:30pm EST We will meet at 1108 W Washington St, Marquette MI
$
Free
April BirthWorks - Virtual (2025)
April 2nd, April 9th, April 16th We will meet on Wednesday evenings from 6pm-9pm EST
$
Free
May BirthWorks - Virtual (2025)
May 31st, June 7th, June 14th We will meet on Saturday mornings from 9am-1pm EST
$
Free
July BirthWorks - Virtual (2025)
July 12th, July 19th, & July 26th We will meet on Saturday mornings from 9am-1pm EST
$
Free
Other
Who can we thank for introducing you to UPFDC's BirthWorks Course?
*
If you learned about it online, which platform?
What topics are you and your partner hoping we cover in this course?
*
Do you have any questions or anything you'd like us to know?
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Our BirthWorks course is free thanks to:
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