Test Personal InformationPregnant Person's Name: *Birthing Partner: E-mail: *Contact Number: *Are you an Ontario resident? How did you hear about us? (If through a website/ search please be specific, if possible) Estimated Due Date: * Class InformationClass Start Desired: *The regular program is 5 weekly classes from the start date (no classes during statutory holidays and holiday weekends) It is recommended that you start the classes when you are 30-32 weeks pregnant or earlier.Please choose from the following...Thursday, October 1 at 7:00pm -9:30pm with Dr. OliviaSunday, October 25 at 10:30am -1:00pm with Dr. EeVonThursday, November 19 at 7:00pm -9:30pm with Dr. OliviaWednesday, December 2 at 7:00pm -9:30pm with Dr. EeVon VerificationPlease enter any two digits *Example: 12This box is for spam protection - please leave it blank: