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Register for your Antenatal Course.

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

First Name

Last Name

Partners Name

Email

Contact Number

Address

ID Number

Medical Aid

Membership Number

Your Gynae / Midwifes Name

Your Gynae / Midwifes Practice Number

Hospital Name/Birth Centre

Baby's Estimated Due Date

Which Course Will you be Attending? * Required

Umhlanga/Dbn North 7 June 2025

Umhlanga/Dbn North 12 July 2025

Umhlanga/Dbn North 9 August 2025

Umhlanga/Dbn North 6 September 2025

Umhlanga/Dbn North 4 October 2025

Umhlanga/Dbn North 1 November 2025

Hillcrest 5 August 2025

Hillcrest 9 September 2025

Hillcrest 4 November 2025

AAK 16 August 2025

AAK 13 September 2025

AAK 11 October 2025

AAK 8 November 2025

AAK 29 November 2025

I, the undersigned

ID Number

Today's Date

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

Thanks for registering!

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