CLASS DISCOUNT

 
 

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.

Name *
Name
Birthing Parent's Date of Birth *
Birthing Parent's Date of Birth
Phone Number *
Phone Number
Insurance Type *
Estimated Due Date *
Estimated Due Date
If not currently pregnant, please enter your youngest child's DOB
What class type are you most interested in? *
If you are interested in the Lamaze Series or Crash Course, you will have the opportunity to request a personalized code.
How did you find Everyday Miracles? *
Please tell us more about you found us, or ask any questions here. Specify which insurance, health care provider or community agency referred you to us, what search terms you used if you found us on-line, or more information, if you selected other. If you are interested in a specialty workshop, please specify the title of the class you are interested in. Thank you for your help!