Western National Employee Benefits through Amma Parenting

As part of your employee benefits you are able to take any 2 Prenatal and New Parent classes in any format, in person, virtually or online, listed below in one calendar year with 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: The employee must be in attendance for your class selections. 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

"*" indicates required fields

First Name*

Baby’s birth location*

Last Name*

I have read the above waiver and agree.*

Due Date*

How did you hear about Amma?*

Email*

Western National Employee Email*

Phone*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Class Selections (Class name, date, time).*

Western National and Michigan Millers Employee Benefits

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