Family Birthing Center Class Registration

This form is to register for the following classes only:
  • Childbirth Education Series
  • Lactation (Breastfeeding) Classes
  • ONLINE Childbirth Education
  • Sibling Classes
  • Car seat Installation
  • Baby Food Making
  • Infant/Child CPR Training
  • Joyful Parenting Class
> To register for Balance Born and Prepared and Positive Childbirth classes contact Jessica LeBlanc at (504) 669-3143.
> To register for the HypnoBirthing classes contact Bonnie Miller at (985) 726-9333, extension 118.

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Name
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Email
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Telephone
Address1
Address2
City
State
select
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Zip
  
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Class Title
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Date of Class

If you are registering for the ONLINE class please enter today's date.

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Doctor's Name
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Due Date
RadDatePicker
Open the calendar popup.
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YOUR date of birth.
RadDatePicker
Open the calendar popup.
Please enter any additional comments here:
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Touro Infirmary, 1401 Foucher Street, New Orleans, Louisiana 70115
Phone: 504-897-7011 Pencil
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