Class Registration

CLASS REGISTRATION

First Name*

Last Name*

E-Mail*

Telephone*

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I want to enroll in the Parenting & Life Skills Program and plan to attend the next orientation.

I want to register for the next session of the following classes:

Healthy Pregnancy	Budgeting
Childbirth	Making You Marketable
Breastfeeding Basics	Beauty from the Inside Out
Baby Care Basics	The Christian Answer
Biblical Parenting	Abortion Recovery

(To register for Car Seat Safety, please contact your local health department; see here for details.)

Bringing your partner or friend to class with you? Please list their names, relationship to you, and the classes they will attend:

Questions or comments:

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