Email: childbirthmiami@bellsouth.net


Telephone:  305-245-2010



Childbirth Miami Class Information



Mom's Name     


Coach's Name   


Best time to contact you  
 
*Please submit  Telephone or Cell  number and Email Address 

*Telephone 

*Email Address   

  
  Obstetrician

     
Baby's Due Date

This is my  1st 2nd 3rd 4th 5th baby (1st, 2nd, 3rd, etc.)  trimester 

Expecting Twins?  No Yes  

 



Please include which classes  you are interested in and if there is space available. Please submit  any questions you may have.
Please contact us early to check availability of times and dates.
You will be redirected back after you click "submit"
We hope you will decide to attend any of our classes.  Before you register or pay for any of our classes you must  either call  our Instructor, Kay Palomino or submit  some information regarding your pregnancy. All information is private.
Telephone: 305-245-2010.  E-mail:  childbirthmiami@bellsouth.net