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* 1. Please enter your first and last name below to register for a live class at Opelousas Pregnancy Center:

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* 2. What is the best phone number to reach you through call or text?

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* 3. Which class are you registering for?

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* 4. What stage of pregnancy are you in currently?

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* 5. What kind of classes would you be interested in attending in the future? Check all that apply. 

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