Prenatal Registration Page
Personal Information
Full Name:
Address:
City:
State:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
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Indiana
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Kentucky
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Maine
Maryland
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Michigan
Minnesota
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Montana
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Nevada
New Hampshire
New Jersey
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New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
ZIP:
Phone (H):
Phone (W):
Due Date (If Applicable):
(A doctor's note is required to take this class)
Class Information
Class:
Location(s):
Day(s):
Time(s):
Number of weeks registered:
(Note: If your due date falls during a session, subtract
2 weeks from your due date in selecting number of classes)
Total classes registered:
X Cost/Class(See class rates):
$
Total Due:
$
Prior to the session start date, please mail all checks to:
B.A.B.Y. Health and Fitness Programs
17 Sachem Rd.
Weston, CT 06883
(203) 221-0163
All classes are first come, first served. If room is still available, after the session begins, students will pay instructors on their first day of class.
If a class is missed, a makeup in another location is permitted
only
during the same session in which the student is enrolled. Always make sure to call our office before doing a makeup just to be assured there is a class that day.
There are no refunds unless there is a physician approved medical reason for leaving (and delivery). In most cases, DTP students will be allowed to credit sessions toward a B.A.B.Y. Postnatal class.
I have read and agreed to class conditions mentioned above (Initial Here): __________