If you have a state-funded (Medicaid) insurance plan, fill out the form below to receive a discount code to use when signing up for classes.  Note: the name entered below must match what is listed on your insurance card exactly, in order for us to verify you plan. Once your insurance coverage is verified, you will be sent a code to use when booking.  

Those with private insurance are welcome to register and attend any of our classes, however fees must be paid out-of-pocket.

If you have already been been matched with a doula, or you have received confirmation of your doula request, you should have already received a discount code. Please look back at any correspondence you have received to see if you have the code you need before making an additional request. 

Name *
Birthing Parent's Date of Birth *
Birthing Parent's Date of Birth
Phone Number *
Phone Number
Estimated Due Date *
Estimated Due Date
If not currently pregnant, please enter your youngest child's DOB
For example: Straight Medical Assistance, Hennepin Health, State-Sponsored Blue Plus, State-Sponsored Medica, State-Sponsored HealthPartners or State-Sponsored UCare
Have you requested or been placed with an Everyday Miracles doula? *
If you have requested or been placed with a doula you already have all the information for registration in your previous email confirmation. THERE IS NO NEED to complete this form UNLESS you are requesting a code for a specialty class where a specific code is needed.
Which classes are you most interested in? *
Choose all that apply
Which location would you like to attend class? *
How did you find Everyday Miracles? *
If you choose a Lamaze, Spinning Babies or other spciality class, please include the date you want to attend in the comments below.