Registration Questionnaire Thanks for registering at Portland Birth Classes, and for taking a moment to fill out this short questionnaire. We look forward to seeing you soon! Name(required) Warning Estimated Due Date (YYYY-MM-DD) Warning Are you planning to take the class with another person? If so, what is their name? Warning Is this your first birth?(required) Yes No Warning Your partner’s? Yes No Warning Where are you planning to give birth? Warning How did you hear about the class? Warning Anything else you’d like us to know? Warning Warning. SubmitSubmitting form Δ
