Lamaze Class (Tuesdays)
Registration Form
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Name (First and Last) *
Email *
Do you plan to bring a partner, spouse or family member with you? If so, please list their name below.
What is your complete address (include street number, the city & zip) *
Please list your phone number, just in case we have a few questions and need to call you. *
What is your date of birth? *
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What month do you wish to attend? (class is the first 4 Tuesday's of the month) *
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