Prepared Childbirth - Two Day Class

Event Registration

Use the form below to complete your registration for this event.
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Your Event
Prepared Childbirth - Springfield - Two-day class

Time: 5:30 PM - 9:00 PM

Cost: Free
Event Date*
Ticket*
Your Information
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*

Area CodePhone Number
Date of Birth:*
Free classes are for patients delivering at CoxHealth only. Are you delivering at CoxHealth?*

YesNo
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?*
If you have signed up for a Natural Childbirth class, please do not continue with this registration. We are unable to accommodate having you attend Prepared Childbirth as well due to the number of patients that need a class*

I understand and will not finish this registrationI have not signed up for a Natural Childbirth class
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.*
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Event Registration