Pregnant In Peterborough Online Prenatal Program

Please complete the following registration form.

When the form is submitted, you will receive a link to the eClass and an access code. This can be used right away. This access code will also be emailed to you for your records.

Each person using online learning is asked to register individually.

Please note all fields are REQUIRED

*Name:

*Email Address:

Confirm email address

*Where do you live?

City of Peterborough

Peterborough County (including Municipality of Trent Lakes, Selwyn Township, Townships of Asphodel-Norwood, Cavan Monaghan, Douro-Dummer, Havelock-Belmont-Methuen, North Kawartha, and Otonabee-South Monaghan)

Hiawatha First Nation

Curve Lake First Nation

*I am...

Pregnant

Co-Parent/Partner

Support Person (e.g. friend, grandparent, other family member)

Other (e.g. health care provider, educator, etc)

*Is this your first baby?

Yes

Not applicable

*How far along is the pregnancy?

1st trimester (1-12 weeks)

2nd trimester (13-26 weeks)

3rd trimester (27-42 weeks)

I am a health care provider, educator, etc.

*How old are you?