Childbirth Education Class Registration Form


It’s most ideal if the pregnant parent can complete this form (or pregnant parent & attending partner together, if applicable). The information you provide will help instructor Lisa to customize our time together around your preferences and needs and provide personalized, supportive resources wherever those might be useful. Any medical or other sensitive/personal info you choose to share will be kept confidential. If there’s anything you'd prefer to share or discuss with me in a different way, you’re welcome to email lisa@birthmattersnyc.com, or you can call or text 646.249.9010. Thank you for taking the time to answer these questions so that I can best create a welcoming, safe space for you.