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Prenatal Class Registration

Parents expecting a baby often have many questions during the pregnancy. If you are expecting, these programs provide you and your partner or support person with the knowledge, skills and confidence to have a baby and prepare for parenthood.

Please register early in your pregnancy. All classes are offered free.

Mother's first name:

Mother's last name:

Mother's date of birth:

Baby's due date:

Is this your first pregnancy?

Yes

Father/partner or labour support person's first name:

Father/partner or labour support person's last name:

City/Town of Residence:

In what county do you reside?

Please identify your municipality:

Primary contact number:

Email address:

Please indicate your preferred method for us to provide your eLearning login information:

Phone

Text

Do you require any accessibility accommodations in order to participate in eLearning?

Yes

If yes, you require accessibility accommodations, please describe:

Name of hospital/home for birth:

We will contact you within 3 business days with confirmation via your preferred method (i.e. phone, text, email). If you choose email, check your spam if you have not heard back from us in a week.

Online eLearning:

ePrenatal classes

Personal information on this form is collected under the authority of the Health Protection and Promotion Act and applicable privacy legislation. This information will be used for the delivery of public health programs and services and may be used for evaluation or statistical purposes. Any questions about the collection of this information should be directed to the Privacy Officer, Huron Perth Public Health, 1-888-221-2133 or email privacy@hpph.ca.