Parent Education Online Pre-Registration

Full Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number

Area CodePhone Number

E-mail

ob/gyn's name

Expected Due Date

MonthDayYear

What Hospital Are You Delivering At?

How Did You Hear About Parent Eductaion Classes at Saint Peter's?

Other

Prenatal Yoga and Exercise Class - $60.00

Prepared Childbirth / Lamaze (Include Tour) Per Couple

Marvelous Multiples $80.00 (per couple)

Childbirth Refresher Course $55.00 (per couple)

Baby Care Class $50.00 (per couple)

New Daddy Class $30.00 (per dad)

Breastfeeding - $40.00 (per couple)

Grandparents Class- ($25.00/pp or $40.00 per couple)

Sibling Preparation - ($20.00 First Child with Parent - $10.00 each additional child)

Name / Age of Child

Infant Massage Class - $35.00 (One adult and infant 6-months and younger)

Birthing Bundle

Coupon Code:

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