REGISTER FOR 1 DAY WORKSHOP

Antenatal Workshop with Bub Club

Please fill out the details below to register for your class, we cant wait to meet you!

First Name

Last Name

Partners Name

WhatsApp Contact Number

Address

ID Number

Medical Aid

Membership Number

Your Gynae / Midwifes Name

Name of Hospital / Birth Centre

Your Gynae / Midwifes Practice Number

Baby's Estimated Due Date

I, the undersigned

ID Number

Today's Date required

Agree that by checking this box, agree to the terms, conditions and indemnity atached. I also understand that no refund will be given for the course once paid for.READ HERE

Which Course Will You Be Attending? Required

Thanks for registering! A condirmation email will be sent to you sortly.