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Prenatal Yoga/Boot Camp for New Dads  Registration - 2007

To register for this class online, please fill out the following form and click on the Submit button. You will receive a phone call to confirm your reservation. If you have any questions about your registration, please call 928 773-2309.

The following information you provide to Flagstaff Medical Center Preparing for Parenthood classes is secured by a 128-bit Verisign Secure Server and will NOT be shared, sold or made available to any other organizations or individuals. Please take special care to make sure all data entered is correct and accurate BEFORE clicking the Submit Payment Information button at the bottom of the form.

CLASS TITLE:
NAME (first and last):
EMAIL:
ADDRESS:
CITY:
STATE:
ZIP:
DAY-TIME PHONE:
PHONE 2:
NAME OF DADDY BOOT CAMPER:
YOUR DUE DATE:
YOUR DOCTOR:
 
Please choose a course date.
This class meets Saturday from 10 a.m. - Noon

(POLICY) If you are registering for a class that begins in less than one week, you must print your online registration form with credit card info and present it to your instructor at the start of the class.
 

Cost for this course is $25 for a non-NAH employee.

(POLICY) If the Childbirth Education office is not notified 24 hours prior to the date of the class you cannot attend, and you do not show up for class, you will have the option of registering for another class but no reimbursement will be issued.
COST:
CREDIT CARD NUMBER:
EXP. DATE:
TYPE OF CREDIT CARD:
THREE DIGIT SECURITY CODE:  
I hereby authorize Northern Arizona Healthcare to debit my credit card account for the amount and classes stated above.

Type name of cardholder exactly as it appears on credit card:

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CLASSES and PROGRAMS
► Breastfeeding Basics
► Infant and Mother Care
► Infant Massage
► Labor Basics
► Mom to Mom Support Group
► Preparing for Birth
► Prenatal Yoga/Boot Camp for Dads

>>Testimonials and Photos

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Northern Arizona Healthcare - 1200 N. Beaver St., Flagstaff, Ariz. 86001 - 928 779-3366
Flagstaff Medical Center - 1200 N. Beaver St., Flagstaff, Ariz. 86001 - 928 779-3366
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