Maternity Wellness Program Registration

Our next session begins 12 April 2021.

To request registration for the Maternity Wellness Program, fill out the form below. Registration is limited and available on a first-come, first-serve basis. Please note that a request for registration does not guarantee a spot on the program.

If you have any questions, please reach out directly to 4WGHealthPromotion@forces.gc.ca.

First Name:
Last Name:
Rank (if applicable):
Email:
Phone Number:
Select which best describes you:	Military member Civilian employee (DND/CFMWS/Contracted) Veteran Spouse of any of the above
Are you pregnant or postpartum?:	Pregnant Postpartum Neither
If you are pregnant, when is your expected due date?:
If you are postpartum, when did you give birth?:
If you selected "neither", what best describes you?:	Partner of a pregnant individual. Partner of a postpartum individual. Support person of pregnant individual. Support person of a postpartum individual. Other
If you selected "other", please provide a description.:

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