Before Baby Class Questionnaire - The Nurtured Child

Before Baby Class Registration Form

Name: *

Partner:

Address: *

Address:

City

State/Province

Zip/Postal

Country

Phone: *

Email Address: *

Estimated Due Date

(If Applicable)

Birth Place/Care Provider

(If Applicable)

Will anyone help you at home after the baby arrives? For how long? *

What aspect of parenting/baby care concerns you the most? What are you most excited for? *

Have you cared for an infant before? *

How to you plan to feed your infant? *

Do you plan on working outside of the home after the baby is born? What are your plans for childcare at that time? *

Is there anything else you would like to tell us about yourself or your family? *

How did you learn about certified RIE® Classes offered at The Nurtured Child? *

Which session are you registering for? *

(March or May)