Class Enrollment

Enrollment Form for
Antenatal Course
02 April to 30 April 2026

Please complete all required fields before submitting to proceed to payment.

Enrollment on the course is only confirmed on receipt of payment.

Mum's First Name *

Mum's Last Name *

Mum's Date of Birth dd/mm/yyyy *

Baby's Due Date dd/mm/yyyy *

Is This Mum's First Baby? Yes/No *

Mum's Mobile Number *

Mum's Email *

Mum's GP Name & Base Location *

Mum's Community Midwife Name & Base Location *

Birth Partner's First & Last Name (only if attending with Mum)

Birth Partner's Mobile Number (only if attending with Mum)

Where is Mum Booked to Have Baby? *

Additional / Special Information

Confirm you have read and accept Midwives for Mothers Terms & Conditions and Privacy Policy *

Please note: Enrollment occurs on receipt of payment. We believe in protecting your privacy and will only ever use your data for the purposes intended.

Jane is an experiencd midwife who promotes the hightest standard of midwifery care. She is a wonderful communicator and able to share her knowledge in fun, enthusiastic, imaginative and engaging ways.

Kay Harris, Midwife

Sharon's presence during childbirth reassured me instantly. I felt blessed to have her by my side.

Veronia, Newly Delivered Mum

Class Enrollment

Enrollment Form for Antenatal Course 02 April to 30 April 2026

Please complete all required fields before submitting to proceed to payment.Enrollment on the course is only confirmed on receipt of payment.

Enrollment Form for
Antenatal Course
02 April to 30 April 2026

Please complete all required fields before submitting to proceed to payment.

Enrollment on the course is only confirmed on receipt of payment.