Class Registration

To ensure that your prenatal educational needs are met, please review the class schedule and register early. We recommend attending any of the Preparation for Childbirth series, 60 days prior to your anticipated due date. In the event a class schedule is changed you will receive a phone call, email or written correspondence confirming the change. Our on-line community calendar will also reflect all changes.

Fee payment is due prior to the start of class and can be made at the time of registration either on line or with our scheduling team (520) 324-2075.

 

* denotes a required field
Attendee Information
First Name * Middle Initial
Last Name * Suffix(Jr., III, etc.)
Address 1 *
Address 2
City * State *
Zip *
Primary Phone *
Email Address *
Personal Information
Attendee Date of Birth *
Physician
Insurance Information
Insurance Provider
Provider ID
Group Number

Select a class / group:


Would you like to pay for this class now? Yes  No

Billing Information
Is the credit card billing address the same as the attendee's address? Yes  No
Address 1
Address 2
City State
Zip

Card Type
Name on Card *
Card Number *
Expiration Date **
Card Verification Value *Click here for help.

Comments
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