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:  
ZOOM online labour birth and baby classes Wednesday, Feb 9, 16, 23 @ 7 pm to 9.30 pm : 9 Feb 2022
ZOOM Saturday class 19 Feb and 26 Feb 2022 ( Cancer Society at level 1 only) 9 am - Midday : 19 Feb 2022
ZOOM (or Christian Life Centre Porirua- level 1) Monday's Feb 21, 28, and March 7, 2022, @ 7 pm to 9.30 pm. Labour, birth, baby class series : 21 Feb 2022
ZOOM or (Churton Park Community Centre - level 1) Monday 14, 21, 28 March, 7 pm to 9.30 pm labour, birth, baby classes : 14 Mar 2022
ZOOM Class Series Wednesdays March 2,9,16 labour, birth, Baby @ 7 pm to 9.30 pm : 2 Mar 2022
Zoom Feed your baby class Wednesday 23 March 7 pm to 9.30 pm : 23 Mar 2022
Cancer Society Newtown Wednesdays 6, 13, 20 April 6 pm to 8.45 pm class series Labour birth and baby : 6 Apr 2022
ZOOM (Christian life Centre Porirua level 1) Monday's May 2, 9, 16 @ 7 pm to 9.30 pm labour birth and baby classes : 2 May 2022
Feeding Baby Class, Christian Life Centre, Porirua . Monday 23 May 6.30 to 8.30 pm (pleases bring a doll or teddy bear) : 23 May 2022
Saturday class, May 14, Cancer Society Newtown 9-4 pm, class series baby, labour and birth : 14 May 2022
ZOOM (Christian life Centre Porirua at level 1) Monday 4 and 11 April 2022 @ 7 pm to 9.30 pm.Labour, birth, complex birth and pain relief classes (2 of 3) : 4 Apr 2022
ZOOM class baby session # 3 at 7 pm to 9.30 pm : 7 Apr 2022
ZOOM Feeding baby class (Cancer Society Newtown level 1) Wednesday 27 April 7 to 9.30 pm : 27 Apr 2022
ZOOM Feed your baby class Thursday 20 Jan @ 7 pm to 9.30 pm : 20 Jan 2022
Feed your baby class ZOOM 7 pm to 9.30 pm (bring a Doll or Teddy Bear) free class: 2 Feb 2022
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:  
ZOOM online labour birth and baby classes Wednesday, Feb 9, 16, 23 @ 7 pm to 9.30 pm : 9 Feb 2022
ZOOM Saturday class 19 Feb and 26 Feb 2022 ( Cancer Society at level 1 only) 9 am - Midday : 19 Feb 2022
ZOOM (or Christian Life Centre Porirua- level 1) Monday's Feb 21, 28, and March 7, 2022, @ 7 pm to 9.30 pm. Labour, birth, baby class series : 21 Feb 2022
ZOOM or (Churton Park Community Centre - level 1) Monday 14, 21, 28 March, 7 pm to 9.30 pm labour, birth, baby classes : 14 Mar 2022
ZOOM Class Series Wednesdays March 2,9,16 labour, birth, Baby @ 7 pm to 9.30 pm : 2 Mar 2022
Zoom Feed your baby class Wednesday 23 March 7 pm to 9.30 pm : 23 Mar 2022
Cancer Society Newtown Wednesdays 6, 13, 20 April 6 pm to 8.45 pm class series Labour birth and baby : 6 Apr 2022
ZOOM (Christian life Centre Porirua level 1) Monday's May 2, 9, 16 @ 7 pm to 9.30 pm labour birth and baby classes : 2 May 2022
Feeding Baby Class, Christian Life Centre, Porirua . Monday 23 May 6.30 to 8.30 pm (pleases bring a doll or teddy bear) : 23 May 2022
Saturday class, May 14, Cancer Society Newtown 9-4 pm, class series baby, labour and birth : 14 May 2022
ZOOM (Christian life Centre Porirua at level 1) Monday 4 and 11 April 2022 @ 7 pm to 9.30 pm.Labour, birth, complex birth and pain relief classes (2 of 3) : 4 Apr 2022
ZOOM class baby session # 3 at 7 pm to 9.30 pm : 7 Apr 2022
ZOOM Feeding baby class (Cancer Society Newtown level 1) Wednesday 27 April 7 to 9.30 pm : 27 Apr 2022
ZOOM Feed your baby class Thursday 20 Jan @ 7 pm to 9.30 pm : 20 Jan 2022
Feed your baby class ZOOM 7 pm to 9.30 pm (bring a Doll or Teddy Bear) free class: 2 Feb 2022
 
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