Healthy Pregnancy-Setting up for Success

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Expectant Mother's Name

First Last

Due Date

Dad/Guest's Name

First Last

Please register with a valid email address as this will be our main form of class communication. If there is ever a need to cancel (weather related) or reschedule a class, we will send out an email. Thank you.

Date of Birth

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Agreement*

I understand that submission of an entry to this exhibition indicates my agreement with all conditions set forth in the prospectus, as well as my permission to allow The Medical Center to photograph my work for publicity purposes.

T-shirt size preferred

Emergency Contact's Name

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Who should we call in case of an Emergency?

Emergency Contact's Relationship

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Parent or Guardian Name

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Drop-off/Pick-up Name

First Last

Please list the name of the person who will be responsible for dropping off your child at 9:00 a.m. and picking up your child by 2:00 p.m.

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Relationship of the person responsible for dropping off and picking up your child

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Children

Child's Name

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Up to 4 children

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Up to 4 grandparents

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Coronavirus (COVID-19) Update and Visitation Restrictions

Healthy Pregnancy-Setting up for Success

May 31 @ 4:00 pm – 6:00 pm

Registration

Additional Information

The Medical Center OB Education

The Medical Center-WKU Health Sciences Complex

Related Events

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Notices:

Coronavirus (COVID-19) Update and Visitation Restrictions

Healthy Pregnancy-Setting up for Success

May 31 @ 4:00 pm – 6:00 pm

Registration

Additional Information

The Medical Center OB Education

The Medical Center-WKU Health Sciences Complex

Related Events

Virtual Class for soon-to-be Big Brothers and Sisters

Virtual Class for soon-to-be Big Brothers and Sisters

Virtual Class for soon-to-be Big Brothers and Sisters

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