Prenatal Registration Form

Please fill in the information below to register for any of our programs and classes.

1. Personal Information Pregnant woman standing against a wall.
:
:     why collect this?

Why collect my phone number?

So we may call you if:

  • there's a change/cancellation
  • an ASL Interpreter is not available

:     why collect this?

Why collect my email address?

To receive confirmation of your registration.

:     why collect this?

Why collect my postal code?

To ensure you are a Halton resident (classes/programs are only offered to Halton residents).

:   Calendar

All 2014 dates are now full for:

Register for 2015 classes by dialing 311 or 905-825-6000.

2. Which class/program would you like to register for?
    show/hide more information

Get breastfeeding support on the telephone from an experienced and trained volunteer mother, who will help guide you through your breastfeeding questions and challenges.

    show/hide more information

The online prenatal program is a free prenatal education program to help pregnant women and their partners prepare for childbirth and the transition to parenthood. The program includes a number of learning features audio, video, FYI sections , special words that can be rolled over with the mouse to obtain more information, print-ready PDFs to download and games and puzzles.

3. Class/Program Specific Information

Prenatal Car Seat Class

:
Class Time:






Location:
Milton Fire Department
405 Steeles Ave East, Milton view map external link


Would you like an:



Halton Breastfeeding Connection

:

A volunteer will be selected from the community you live in.

Prenatal Breastfeeding Class

All 2014 Classes are now full.
2015 dates are available and are currently being added to this form. For immediate registration, please dial 311.  

Halton Online Prenatal Program

No additional information required. You will be emailed an access code.

Healthiest Babies Possible

All 2014 classes are now full.
2015 dates are available and are currently being added to this form. For immediate registration, please dial 311.

view map external link (new window)

 

Personal health information on this form will be used to register you for, and administer your participation in, the Public Health programs that you have chosen above. You are not required to provide your information on this form but declining to do so will mean that you cannot register electronically. If you provide your information you have the right to withdraw consent to its use at a later date. Questions about the collection of your information can be addressed to the Manager of Early Years Health Program (contact information below)

Your email address will be used to confirm your registration and to communicate with you about your participation in the programs you have chosen. Please note that there is no security in place for email so some risks may exist with email communication (e.g., other in the home may access it, the information may be intercepted by others while in transit for your email address). By providing your email address above, you are agreeing to these risks. If you have concerns with providing your email address, please contact
Manager of Early Years Health Program to discuss your options for participation.

Manager of Early Years Health Program - Halton Region Health Department
690 Dorval, Level 6, Oakville, ON, L6K 3X9
905-826-6000 Ext. 2920
toll free 1-866-442-5866 Ext. 2920