Hennepin Healthcare Employee Wellness Program through Amma Parenting %

As part of your employee wellness program you are able to take select Prenatal and New Parent classes Amma Parenting at no cost to you. Please fill out the form below with specific class selections, dates and locations. We will then send you an email confirmation(s) for your classes. You must complete the form in full or we will be unable to process your request. If you have questions or are unsure of class dates and times please note that in the comments section below and we will give you a call.

Please note: If we are unable to verify your employment you will be responsible for the tuition(s) of your class(es).

If there is no “sign up” button next to the class, then that particular class is full. Please select another option.

You must view the Waiver here and agree in the below form.

Eligible employees can choose from the following classes:

complete this form to sign up for a class

First Name*
Last Name*
Due Date*
MM slash DD slash YYYY
Hennepin HealthCare Employee Number*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Baby’s birth location*
I have read the above waiver and agree.*
How did you hear about Amma?*
Email*
Phone*
Class Selections (Class name, date, time).*

Hennepin Healthcare Employee Wellness Program

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