Register for Childbirth Class
Please complete this registration form and we'll respond to your request. If you have any questions or concerns, please contact LaKieta Sanders at 919-323-5266.
Each series of classes is offered virtually and free of charge. Please select a group you would like to join:
*
Please Select
Group A (5:30pm-7:30pm): 9/22/25, 9/29/25, 10/6/25, 10/13/25
Group B (3:15pm-5:15pm): 9/24/25, 10/1/25, 10/8/25, 10/15/25
Group C (5:30pm-7:30pm): 10/20/25, 10/27/25, 11/10/25, 11/17/25
Group D (5:30pm-7:30pm): 11/24/25, 12/1/25, 12/8/25, 12/15/25
What is your first and last name?
*
First Name
Last Name
What is your Postal / Zip code?
*
What is your email address?
*
example@example.com
What is your phone number?
*
Please enter a valid phone number.
Where are you receiving prenatal care?
Where do you plan to give birth?
What is your estimated due date?
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Month
-
Day
Year
Date
How many times have you been pregnant?
0
1
2
3
More
Please describe any unique circumstances:
0/200
What do you hope to achieve from taking this class?
0/200
Do you have a preferred contact method?
Please respond by email
Please respond by phone
Submit
Should be Empty: