Educational Class Request

Please fill out the form below for the class you are requesting. Thank you!

Name Name First Last
Date of Birth Date of Birth / MM / DD YYYY
Have you ever been a Soundview patient/client?

Have you ever been a Soundview patient/client? Yes No
Due Date Due Date / MM / DD YYYY
Preferred method of contact

Preferred method of contact Cell Phone Email
Cell Phone Cell Phone - ### - ### ####
Email
Pregnancy Basics
Newborn Care
Child Birth Education with Doula Alex
Are you comfortable taking a group zoom class?

Are you comfortable taking a group zoom class? Yes No
Would you like a text/email reminder of your class the day before or the day of your scheduled class

Would you like a text/email reminder of your class the day before or the day of your scheduled class Yes No
Additional Class Information
Thank You for registering! Within 24-48 hours after submitting your request you receive a text/email with confirmation of class registration with zoom link. If you have requested, the day before or the day of class you will receive an email/text reminder of your scheduled class. Please arrive on time to class on time. We look forward to having a great time learning and discussing together!