The Center for Women, Children, and Family ... - Valley Hospital
The Center for Women, Children, and Family ... - Valley Hospital
The Center for Women, Children, and Family ... - Valley Hospital
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REGISTRATION FORM<br />
PRICE<br />
<strong>The</strong> Ultimate Birthing Experience (Lamaze)<br />
Weekdays (5 – 2 hr. classes) or (4 – 2 1 /2 hr. classes) $ 200<br />
Weekend (2 – 5 hr. classes) $ 200<br />
Refresher (3 hrs.) $ 50<br />
Preparing <strong>for</strong> Parenthood<br />
Marvelous Multiples (3 – 2 1 /2 hr. classes) $ 200<br />
Breastfeeding Basics (3 hrs.) $ 50<br />
Newborn Care (3 hrs.) $ 50<br />
Dads On Duty - No Moms Allowed (2 hrs.) $ 40<br />
Gr<strong>and</strong>parents’ Class (3 hrs.) $ 45<br />
Infant <strong>and</strong> Child Safety (2 1 /2 hrs.) $ 40<br />
Pets <strong>and</strong> Babies (2 hrs.) $ 50<br />
<strong>The</strong> Happiest Baby On the Block (2 hrs.) $ 55<br />
Sibling Preparation 3-7 yrs. (1 1 /2 hrs.) $ 40<br />
Babysitters’ Preparation (2 hrs.) $ 35<br />
Inner Visions $ 150<br />
Yoga Classes<br />
Prenatal Yoga (5 – 1 hr. classes) $ 100<br />
Baby <strong>and</strong> Me Yoga (5 – 1 hr. classes) $ 100<br />
Toddler Yoga (5 – 1 hr. classes) $ 100<br />
<strong>Women</strong>’s Health Yoga (5 – 1 hr. classes) $ 100<br />
eLearning<br />
St<strong>and</strong>-alone class $200<br />
Taken with the Ultimate Birthing Experience $ 50<br />
Special Programs<br />
What is Cord Blood Banking $ 10<br />
Date<br />
<strong>Family</strong> <strong>and</strong> Relationship Workshops<br />
Achieving Your Goals $ 35<br />
Being Fearless vs. Fearful $ 35<br />
How to Make A Difference In the World $ 35<br />
Communication Techniques <strong>for</strong><br />
Middle/High School Students $ 35<br />
Girls On the Go $ 35<br />
Dialoguing With Your Toddler $ 35<br />
Dialoguing With Your Teenager In A Digital Age $ 35<br />
Inner Strength Tools $ 35<br />
Birth, Baby & Beyond - Networking <strong>and</strong> Socializing<br />
Check box <strong>for</strong> selected classes Fee: $20 per person unless otherwise noted*<br />
❑ Create Wellness –<br />
❑ Picky Eaters<br />
It’s More Than Genetics<br />
❑ Prenatal Yoga On the Beach*(free)<br />
❑ Babyfest at Whole Foods*(free) ❑ Financial Planning <strong>for</strong> Parents<br />
❑ Baby Steps to Re-enter<br />
❑ Health <strong>and</strong> Delicious<br />
the Work Force<br />
Real Food Snacks<br />
❑ Breast Health <strong>and</strong> Your Bra ❑ One Pot Healthy Meals<br />
❑ Baby ER<br />
❑ Two Angry Moms Screening*($5)<br />
❑ Raising A Green Baby<br />
❑ Sleep Training<br />
❑ To Immunize or Not to Immunize ❑ Growing Healthy Kids<br />
❑ Baby Sign Language<br />
❑ Stimulating Your Baby’s Brain<br />
<strong>and</strong> Developmental Stages<br />
Through Music <strong>and</strong> Foreign Language<br />
❑ Baby Proofing Your Marriage ❑ Shopping <strong>for</strong> the Holidays<br />
❑ Baby Photography <strong>and</strong> Modeling ❑ New Beginnings<br />
❑ Positive Parenting<br />
❑ Healthy Eating Over the Holidays<br />
TOTAL ENCLOSED: $<br />
Name:_______________________________________________________________________________________________<br />
Address:_____________________________________________________________________________________________<br />
________________________________________________________________________________ Zip: ____________________<br />
Work Telephone: ( )________________ Home Telephone: ( )___________________Cell Phone: ( ) ________________________<br />
Dr.:_______________________________ Due Date: __________________Email address: ______________________________________<br />
Name on credit card:____________________________________________________________________________________________________<br />
Card Number: _________________________________________________________ Exp. Date: ______________ Amount Charged: ___________<br />
Card Billing Address:____________________________________________________________________________________________________<br />
Signature ____________________________________________________________________________________________________________<br />
Any questions, please email us at familyeducation@valleyhealth.com.<br />
Mail this <strong>for</strong>m with your check, payable to:<br />
<strong>The</strong> <strong>Valley</strong> <strong>Hospital</strong>, Attn: <strong>Family</strong> Education, 15 Essex Road, Suite 202, Paramus, NJ 07652<br />
Or you may pay by credit card by faxing this <strong>for</strong>m to 201-291-6487. To register by phone, please call 201-291-6151.<br />
www.valleyhealth.com/familyeducation