Please check-off the classes you wish to attend. Our staff will register you based upon your due date and seating availability. We will send you a confirmation letter in the mail. Please feel free to e-mail us at fec@siuh.edu should you have any questions.

 
Expectant Parent

Breastfeeding

Taking Care of Baby

Mother's Name:
Father's/Coach's Name:
Last Name:
E-Mail Address:
Address:
City:
State: Zip:
Phone:
Obstetrician:
Delivery Date:
Type of Insurance: