Free class series or free Breastfeeding class Enrolment Form below

To attend our free breastfeeding class or free full class series please fill out the enrollment details below.  This is confidential information and helps us place you in a class

PLEASE TAP the SUBMIT BUTTON at the very bottom of the booking page to send the completed form.  

THANK YOU - A CONFIRMATION SHOULD POP UP IMMEDIATELY.

We will contact you via email to confirm your booking within three to seven days. if no response please send a text to 0226739001 or call during office hours. 
Full Name*
under 25? yes / no
What ethnicity? Maori, Pacific Island, Pakeha, Indian, Chinese, Other Asian, European, other? *
Country of birth
Email address*
Contact phone number*
Baby's due month *
1st baby?
Is a Support person attending? their name is?
Support Person's Ethnicity:- Maori, Pacific Island, Pakeha, European, Indian, Chinese, Other Asian, other
What suburb do you live in? *
Midwife? Hospital team? Obstetrician?
How did you hear about the classes? Midwife, Google, Hospital team, friends?
breastfeeding class booking only?
Select the classes you wish to book for then enter submit at bottom of the page:  
Cancer Society Newtown Wednesday, April 14 21 and 5 May (6 pm to 8.45 pm) 28 April breastfeeding class: 14 Apr 2021
Churton Park Community Centre Monday, May 10, 17, 24 31 (7.15 pm to 9.15 pm) : 10 May 2021
Cancer Society Newtown Saturday, May 15 (1-day class (9 am to 3.30 pm) : 15 May 2021
FEEDING YOUR NEWBORN CLASS #3 Cancer Society Newtown Wednesday, April 28 (6 pm to 8.30 pm): 28 Apr 2021
FEEDING YOUR NEWBORN CLASS #4 Cancer Society Newtown Wednesday, May 26 (6 pm to 8.30 pm): 26 May 2021
Cancer Society Newtown Wednesday, June 2 9 16 (6 pm to 8-45 pm ): 2 Jun 2021
Kenepuru Hospital Education Centre Monday, June 14 21 28 (6 pm to 8.45 pm): 14 Jun 2021
Churton Park Community Centre August 9 16 23 30 (7.15 pm to 9.15 pm) : 9 Aug 2021
Cancer Society Newtown Saturday, July 31 (9 am to 3.30 pm) : 31 Jul 2021
Cancer Society Newtown Wednesday, July 7 14 21 (6 pm to 8.45 pm) : 7 Jul 2021
FEEDING YOUR NEWBORN CLASS #5 Cancer Society Newtown Wednesday 28 July (6 pm to 8.30 pm) : 28 Jul 2021
Zoom on-line course Wednesday, August 11,18,25 (6.45 to 8.45 pm) : 11 Aug 2021
Kenepuru Hospital Education Centre Monday, September 13 20 27 (6 pm to 8.45 pm) : 13 Sep 2021
FEEDING YOUR NEWBORN CLASS #6 Cancer Society Newtown Wednesday, September 8 (6 pm to 8.45 pm): 8 Sep 2021
Cancer Society Newtown Wednesday, September 15 22 29 (6 pm to 8.45 pm) : 15 Sep 2021
Full Name*
under 25? yes / no
What ethnicity? Maori, Pacific Island, Pakeha, Indian, Chinese, Other Asian, European, other? *
Country of birth
Email address*
Contact phone number*
Baby's due month *
1st baby?
Is a Support person attending? their name is?
Support Person's Ethnicity:- Maori, Pacific Island, Pakeha, European, Indian, Chinese, Other Asian, other
What suburb do you live in? *
Midwife? Hospital team? Obstetrician?
How did you hear about the classes? Midwife, Google, Hospital team, friends?
breastfeeding class booking only?
Select the classes you wish to book for then enter submit at bottom of the page:  
Cancer Society Newtown Wednesday, April 14 21 and 5 May (6 pm to 8.45 pm) 28 April breastfeeding class: 14 Apr 2021
Churton Park Community Centre Monday, May 10, 17, 24 31 (7.15 pm to 9.15 pm) : 10 May 2021
Cancer Society Newtown Saturday, May 15 (1-day class (9 am to 3.30 pm) : 15 May 2021
FEEDING YOUR NEWBORN CLASS #3 Cancer Society Newtown Wednesday, April 28 (6 pm to 8.30 pm): 28 Apr 2021
FEEDING YOUR NEWBORN CLASS #4 Cancer Society Newtown Wednesday, May 26 (6 pm to 8.30 pm): 26 May 2021
Cancer Society Newtown Wednesday, June 2 9 16 (6 pm to 8-45 pm ): 2 Jun 2021
Kenepuru Hospital Education Centre Monday, June 14 21 28 (6 pm to 8.45 pm): 14 Jun 2021
Churton Park Community Centre August 9 16 23 30 (7.15 pm to 9.15 pm) : 9 Aug 2021
Cancer Society Newtown Saturday, July 31 (9 am to 3.30 pm) : 31 Jul 2021
Cancer Society Newtown Wednesday, July 7 14 21 (6 pm to 8.45 pm) : 7 Jul 2021
FEEDING YOUR NEWBORN CLASS #5 Cancer Society Newtown Wednesday 28 July (6 pm to 8.30 pm) : 28 Jul 2021
Zoom on-line course Wednesday, August 11,18,25 (6.45 to 8.45 pm) : 11 Aug 2021
Kenepuru Hospital Education Centre Monday, September 13 20 27 (6 pm to 8.45 pm) : 13 Sep 2021
FEEDING YOUR NEWBORN CLASS #6 Cancer Society Newtown Wednesday, September 8 (6 pm to 8.45 pm): 8 Sep 2021
Cancer Society Newtown Wednesday, September 15 22 29 (6 pm to 8.45 pm) : 15 Sep 2021
 
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