Register for our classes

To register electronically complete this form and press the "Send Registration" button at the bottom of the page. To mail or fax us your registration click here and get our printer friendly form.

Registration Form
Mother's first name
Mother's last name
Partner's first name
Partner's last name
Street Address
Apt. number
City
Province
Postal Code
Home telephone number
Work telephone number
E-mail address
Due Date:
Today's date:
Doctor's or Midwife's name
Planned place of birth
Is this your first child:	Yes No
Class series you would like to register for
Class start date
How did you learn about the Ottawa Childbirth Education Association?	Family friend Internet Phone book Doctor Midwife