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Childbirth Preparation Class Registration Form- Park Rapids, MN

Please answer the following questions to register for one of our Childbirth Preparation Sessions (session consists of online course with one in-person session).
*Required Questions.
Call Janine 218.616.3385 for further questions.
Name*
First Last
Labor Partner/Coach
Which 2022 session are you registering for?*
Due Date*
MM slash DD slash YYYY
Address*
Street Address City State ZIP Code
Email Address*

Please check email within 5 business days for online course link & password.
Phone Number*
Is it OK to leave a message regarding class at this number?*
Doctor/Healthcare Provider/Hospital*
Is this your first baby?*
What do you wish to learn from this class?
CAPTCHA

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