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Childbirth and Baby Care Classes – Registration Form

Please print this form and return it with your check or money order to:
Saint Francis Hospital
Parent Education Coordinator/DB
701 N. Clayton Street
Wilmington, Delaware 19805

Payment must accompany registration. We will confirm your registration by mail.
No phone registrations will be accepted. Register early to avoid disappointment.

Questions? Call 302.421.4848.

 

Name_____________________________________________________________

Address____________________________________________________________

City ______________________________________________________________

State_________________________________________ Zip__________________

Home Phone________________________________________________________

Work Phone________________________________________________________

Insurance Carrier____________________________________________________

Support Person______________________________________________________

Baby’s Due Date_____________________________________________________

Doctor____________________________________________________________

Age(s) of other children________________________________________________

 

Check your first and second choice of evenings to attend the class.

__Monday       __Tuesday       __Wednesday       __Thursday

 

Check the class or classes you wish to attend.

__Labor and Delivery – Childbirth Readiness Classes
Four two-hour sessions. Weekday evenings from 7:00 pm – 9:00 pm
Cost: $60

__Buttons and Bows – All About Baby
One two-hour session. Weekday evening from 7:00 pm – 9:00 pm
Cost: $15

__Breastfeeding Your Baby
One two-hour session. Weekday evening from 7:00 pm – 9:00 pm
Private classes are conducted during the day if someone is unable to schedule an evening class.
Cost: $15