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Your Information
* Email Address:
* Password:
* Verify Email Address:
* Verify Password:
* First Name:
* Last Name:
Due Date
* Phone:
Work Phone:
Cell Phone:
* Address:
* City:
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Partner Information
First Name:
Last Name:
Email Address:
Child Information
Knowing about your children will help us serve you better. Please submit information in the spaces below about each of your children who will be attending classes
Name:
Gender:
Date of Birth:
Insurance Information

We are a Priority Health participating member, which means you will be reimbursed for one prenatal class offered at Lamaze Family Center. Priority Health has asked that each Priority Health member pay for their class in full before they will receive reimbursement. To ensure proper registration for Priority Health members, please follow these steps:

  1. When checking out, please pay in full.
  2. After your registration is complete, print your receipt from our website and bring to class so your instructor can sign it.
  3. Next, visit Priority Health website to download the Member Reimbursement Form (Home Page, Quick Links/Member Forms, Submit a claim, Member Reimbursement form), complete and mail along with your LFCAA receipt after completion of class, for class fee reimbursement.

For families using a flex-spending or medical expense account, you have two options:

  1. Pay for your class in full, then print the receipt from your account and have your instructor sign it at the conclusion of your class to submit for reimbursement.
  2. If you want to use your flex spending credit card to pay for class, please call our office for education codes to submit to your provider for activation of your card.

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* You will be sent a confirmation email upon successful account creation.