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, November 18 at 7:00pm -9:30pm with Dr. OliviaSunday, December 5 at 10:30am -1:00pm with Dr. EeVon Additional Services: Would you be interested in learning more about the following services?Birth Doula Baby Sleep Consult or Class Breastfeeding information or support VerificationPlease enter any two digits *Example: 12This box is for spam protection - please leave it blank: