The BirthPlace Class Registration - UCLA Health

Congratulations on your pregnancy and welcome to The BirthPlace at UCLA! You can register for one or more of our pregnancy and parenting classes here. Please fill out the form below to register.

If this is an emergency, call 911.

International patients, click here for access to world-class medical care.

First Name *

Last Name *

Partner's Name *

Phone Number *

Email Address *

Zip or Postal Code *

Patient Date of Birth *

MM/DD/YYYY

OB Provider *

Hospital Where You Plan to Deliver *

Due Date *

MM/DD/YYYY

Previous Births *

Online Classes I would like to attend

Baby Talk Series

Breastfeeding Series

Childbirth Preparation Series

In Person Classes I would like to attend

Infant CPR/First Aid

Childbirth Preparation Series

Comments

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