the Birth Experience - Class Registration

Please phone us to ensure your registration date is confirmed. Call: 905-271-BABY (2229)
$175.00 + GST (Note: $50.00 cancellation charge is in effect
30 days cancellation notice required unless Medical Certificate is presented)

*** If you want to ensure your place, please make payment
within one week to confirm your registration***

Payment Methods: Visa or Mastercard over the phone.

Your Name, First & Last:
Partner's name:
Due date:
Home phone number:
Work phone number:
Email Address:
Mailing Address:
City:
Province:
Postal Code:
Physician:
*(Please type Class Dates Note: you should finish Class approx 6 weeks prior to duedate)*

How did you find out about the Birth Experience?