About this template
Preparing for a new baby is an exciting journey, and childbirth education helps expectant parents feel confident and informed. This Prenatal Education Registration template makes it easy for healthcare providers, childbirth educators, and community clinics to enroll expectant mothers and their partners into prenatal classes. The form collects essential contact details, pregnancy history, estimated due dates, healthcare providers, and planned delivery locations.
Organizers can also use this form to understand specific learning goals, requested information topics, and individual concerns, allowing instructors to tailor their curriculum to the group's needs. Whether you are running hospital-based classes, independent doula workshops, or community wellness sessions, Doc2Form lets you turn this registration workflow into a Google Form in seconds. By capturing all necessary clinical and logistical details upfront, you can streamline class coordination and provide a more personalized, supportive learning experience for every family.
Key features
- Collect complete contact and partner information in one submission
- Track estimated due dates and first-pregnancy status easily
- Gather learning goals and specific topics of interest for customized classes
- Note primary care providers and planned delivery locations for care continuity
- Easily convert and customize instantly with Doc2Form for Google Workspace
Use cases
- Hospital-run childbirth and lactation education classes
- Independent doula and midwife workshop registrations
- Community health center prenatal support groups
- Virtual or in-person pregnancy wellness seminars
What this form collects
- Participant's Full Name (Short answer)Enter your first and last name.
- Partner's Full Name (Short answer)If your partner or support person is attending with you, enter their full name here.
- Email Address (Short answer)We will send class schedules and confirmation details to this address.
- Phone Number (Short answer)Enter your best contact number for urgent class updates.
- Residential Address (Paragraph)Enter your street address, city, and zip code.
- Preferred Class Session or Date (Dropdown)Select your preferred start date or time slot.
- Is this your first pregnancy? (Multiple choice)Select one.
- Estimated Due Date (Date)Enter your expected delivery date.
- Primary Care Provider / OB-GYN / Midwife (Short answer)Provide the name of your primary pregnancy care provider or clinic.
- Planned Delivery Location (Short answer)Name the hospital or birth center where you plan to deliver.
- What are your primary learning goals for this class? (Paragraph)Share what you hope to gain most from attending.
- Requested Information Topics (Checkboxes)Select any specific topics you would like us to cover in depth.
- Comments or Additional Information (Paragraph)Let us know about any special accommodations, accessibility needs, or questions you have.
FAQ
How do I use this template with Google Forms?
You can instantly convert and import this template into your Google Drive using Doc2Form, making it immediately ready to share with expectant parents.
Can I collect information for both the mother and partner?
Yes, the form includes dedicated fields to capture contact details and names for both participants attending the course.
Is it possible to customize the requested topics and learning goals?
Absolutely. Once the form is in your Google account, you can freely edit, add, or remove any questions to fit your curriculum.
Can I use this form for both virtual and in-person classes?
Yes, the template is versatile and works wonderfully whether you are hosting classes online via video conference or at a physical facility.
Get this form in your Google Drive
Save a copy to your Google Drive with one click (uses 1 credit). Or build from a PDF or description in the app.