Childbirth & Childcare Classes          

To register, call 304-424-2748 or complete the form below and submit.
  ** Someone will contact you by phone or email, to schedule your class.
  If you have any questions, please call 304-424-2748.

Your registration fee will be due at your first class.  
    
 Name:    (Required)

 Address: (Required)

 City: State:    Zip:

 Phone:     (Required)

 E-mail address:
 
 Due Date:

 Physician: 

 Do you have a WV Medical Card?  Yes   No