Mid Coast Hospital

Register for "Birthing with Confidence (Compressed One-Day Class)"

Meeting Nov 14

This class costs $60 ($30 for active duty families.)

Last: First:
About the Partner or Partner-to-Be
Partner's full name:*
Primary:* Alternate:
Date of birth:*
Do you intend to breast feed?* 
Are you or your spouse currently active duty military?
About this Pregnancy
Expected due date or date of birth:
Name of Physician/Midwife
Payment Options
1. Cash/Check - bring to first class 

2. Credit Card

Select pay method or request scholarship
How did you hear about our classes?
Provide any details you'd like. It's very helpful!

Privacy policy