Event Registration
Use the form below to complete your registration for this event.
*Indicates required fields.
Your Event
Natural Childbirth
Time: 5:30 PM - 9:00 PM
Cost: Free
Event Date
*
Please Select
June 10, 2026
July 8, 2026
August 12, 2026
September 9, 2026
Ticket
*
Please Select
General (Free)
Your Information
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Format: (000) 000-0000.
Date of Birth:
*
Free classes are for patients delivering at CoxHealth only. Are you delivering at CoxHealth?
*
Yes
No
Who is your OB provider?
*
Due date:
*
Name of support person attending with you:
*
In-person attendance allows for the best experience. How would you like to attend this class?
*
Please Select
In-person
Virtual
I understand that I cannot sign up for Natural Childbirth AND Prepared Childbirth due to the number of patients needing a childbirth class (The book you take home goes into possible medical interventions for you to self-study if desired).
*
If I have signed up for a Prepared Childbirth class - I will stop here and not submit this registration.
I have not signed up for a Prepared Childbirth class - so I will submit this registration
I will call The Women’s Center if I cannot attend my class since I realize there is often a waitlist.
*
If I need to edit my registration or choose another date, I will call The Women’s Center instead of submitting another request online.
*
If I do not receive an email confirmation in a few days I realize I may not have successfully registered for the class and I will call The Women’s Center to inquire at 417-269-4664.
*
Submit
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