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• One, 2-hour meeting exclusively for patients of this practice presented by Mary Kahrs, BS, MA, LCCE, FACCE.
  
• This program is considered part of your personal and comprehensive prenatal care. You are warmly invited and encouraged to attend.
  
• Whether you're having your first baby or your tenth, the program is designed for ALL mothers-to-be.
  
• The class should be taken as early in your pregnancy as possible but you can participate at any time.
  
• Bring your questions to this very special class. Learn about your pregnancy, current office and hospital policies and procedures.
• Program size is limited and registration is based on availability. Call our office with any questions you may have: 631-360-2880.

Mother-To-Be’s Name:	Father / Coach-To-Be’s Name:
Address:	City:
State: Select StateAlabamaAlaskaAmerican SamoaArizonaArkansas CaliforniaColorado ConnecticutDelaware District of ColumbiaFlorida GeorgiaGuamHawaii IdahoIllinoisIndiana IowaKansasKentucky LouisianaMaineMaryland MassachusettsMichigan Midway IslandsMinnesota MississippiMissouri MontanaNebraskaNevada New HampshireNew Jersey New MexicoNew York North CarolinaNorth Dakota OhioOklahomaOregon PennsylvaniaPuerto Rico Rhode IslandSouth Carolina South DakotaTennessee TexasU.S. Virgin Islands UtahVermontVirginia WashingtonWest Virginia WisconsinWyoming	Zip Code:
Home Phone:	Cell Phone:
Email: (Required to confirm)*	Due Date:
Your Doctor / Midwife’s Name:	Class Date Chosen:

Please click the Submit Registration button to send us your information.  

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