REGISTRATION FORM
At this time, public courses are not available.

Private classes can be arranged. The program can be condensed to two 3-hour sessions at your home and convenience. The videos are free for you to watch on your own time. For more details, please contact me by email or by phone (604.617.5003).

Name
Partner/Support person's Name
E-mail
Phone Number
Doctor's Name
Best Time to Call	morning afternoonevening
Course Dates
	n/a       .       .

Thank you very much for choosing Westcoast Prenatals. To confirm your registration, please, send a deposit check of $50 paid to "Westcoast Prenatals". Once your registration is confirmed, you will receive another questionnaire via e-mail 10 days before the course begins. Please, make sure that your correct e-mail is sent with the deposit. If you have any questions or require more information, please, contact me via e-mail or telephone 604-617-5003. Thank you again!