Childbirth Preparation Class Registration Form Please answer the following questions to register for one of our Childbirth Preparation Sessions (session consists of 3 evenings of class). *Required Questions. Call Janine 218.616.3385 for further questions.Name* First Last Labor Partner/CoachWhich 2019 session are you registering for?*SelectSession 1: January 2,9,16 from 6-9pmSession 2: March 6,13,20 from 6-9pmSession 3: May 1,8,15 from 6-9pmSession 4: September 4,11,18 from 6-9pmSession 5: November 6,13,20 from 6-9pmDue Date* Date Format: MM slash DD slash YYYY Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Best way to contact you?*SelectEmailPhoneEmail PhoneIs it OK to leave a message regarding class at this number?*SelectYesNoDoctor/Healthcare Provider/Hospital*Is this your first baby?SelectYesNoWhat do you wish to learn from this class?