ChildbirthJoy Intensive

This prenatal series provides information to help you prepare for the birth of your baby.

Held in west Toronto at WestEnd Mamas at Bloor and Jane.

Friday night (6 to 9 pm) and Saturday (9.30 to 6 pm).

** Please note: this series does not have hypnosis training **

Please note that all fields followed by an asterisk must be filled in.

Your first and last names (expecting mother)*

Your partner’s first and last names*

Which Intensive are you registering for?*

Mailing address*

City*

Province*

Postal Code*

First Baby?*

	Yes
	No

Summary of previous pregnancies/births

Due Date (DD/MM/YY)*

Careprovider*

Careprovider’s name*

Planned place of birth*

Additional classes in pregnancy?*

If yes, please specify

Pregnant woman’s birthdate (DD/MM/YY)*

Partner’s birthdate (DD/MM/YY)*

Your occupation (pregnant woman)

Partner’s occupation

Are you both generally in good health?*

If other, please specify

Previous experience with (check all that apply)*

If other, please specify

What would you like addressed during this course?*

Group emails can facilitate interaction. Do you agree to be included?

Interested in joining a Facebook group for this series?

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How did you hear about this course?*

Please enter the word that you see below.