EmailMeForm
Gore Parents Centre: Childbirth Education Classes
Our classes run from 9-4pm over a weekend at the Gore Kids Hub - Parents Centre room (13 Wayland Street, Gore).
Our upcoming class dates are:
* May 2020
* August 2020
* November 2020
* February 2021
(Please note that these dates can be subject to change.)
Topics covered include:
Pain management
Labour
Labour positions
Self help during labour
Feeding
Early parenting
Once we have received your enrolment form, we will email you for confirmation of your place for the relevant course date.
You will receive another email with further information 1-2 weeks before the class starts.
These classes are offered to the community FREE of charge thanks to the proceeds from our annual fundraising Winter Fete.
Your Name
First
Last
Your Support Person's Name
First
Last
Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Email (this will be our main form of contact prior to the class)
*
Contact Phone Number
*
NHI Number
*
Estimated Due Date
*
DD
/
MM
/
YYYY
Midwife / Lead Maternity Carer
Ethnicity
You
Your Support Person
European
Maori
Pacific Island
Other (please specify below)
If selected Other for Ethnicity please specify here
Age
You
Your Support Person
20 or under
21-25
26-30
31-35
36-40
41-45
46+
Is this your first child?
Yes
No
How did you hear about our classes?
Midwife
GP
Specialist Obstetrician
Word of Mouth
Other
Any other questions / comments:
Powered by
EMF
Online Form Builder
Report Abuse