Childbirth Education Class Signup

We thank you for choosing the Copeland-Emerson Family Birthing Center at Wilson Memorial Hospital for your Childbirth Educational Needs. We look forward to working with you and your support person in providing the best educational information so that you may enjoy the entire birth process while being well prepared knowing what to expect.

Your one time registration includes all three classes – Childbirth Education, Newborn Care and Breastfeeding Success classes – for $100. This fee includes all materials! When you register be sure to choose the date you want to attend each of the three classes. It is recommended when scheduling classes to schedule the Childbirth Class first, followed by Breastfeeding, then Newborn Care, as each class builds upon the other.

Please provide the following information:

Expectant Mother's Name: *

Support Person/Persons Name: *

Address: *

City: *

State: *

Zip: *

Phone: *

Email Address: *

Confirm Email Address: *

Due Date: *

OB Physician: *

Childbirth Class: *

Breastfeeding Class: *

Newborn Care Class: *

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