the Birth Experience                      905-271-BABY (2229)          
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Class Registration Form

Contact Information

 

You & Your Partner's First Names
Last Name:
Address
City:
Postal Code:
Daytime Phone:
Evening Phone:
E-mail
Physicians Name:
Expected Due Date
Comments:  To complete your registration,
Please call us with your Visa or Mastercard
Number (905) 271-2229 Cost: $197.75 includes h.s.t. 
Cancellation Policy:  There are no refunds unless you provide a physicans letter with a medical explanation.

Don't delay.....Call today!  Julie's classes fill
quickly!