Safe Baby Academy - Protecting Your Sleeping Baby

The Safe Baby Academy- Protecting Your Sleeping Baby class teaches parents/caregivers of newborns to identify and eliminate hazardous sleeping environments (i.e. soft bedding, co-sleeping) and behaviors (i.e. placing baby on stomach)  that could lead to a sleep-related death. To attend participants must be at least six months pregnant or be the primary caregiver of an infant less than 3 months old.  The next class is:

* This Field is Required

Are you over 6 months pregnant now? *
fill-in if baby has been born, leave blank if still pregnant
MM/DD/YYYY
Income eligibility (must have an eligible income to receive a free pack 'n play. Check all that apply): *



MM/DD/YYYY
(999) 999-9999

SAFE BABY ACADEMY AGREEMENT

Please read the following agreement.

I realize registration for the Safe Baby Academy - Protecting Your Sleeping Baby class of Children's Hospital of Michigan is limited to those who are over 6 months pregnant or that are a caregiver of an infant less than 3 months old, and therefore I am qualified to attend.
I have not previously received a free Pack n' Play from any Children's Hospital of Michigan program, Department of Human Services (DHS) or Wayne County Department of Public Health.
I understand I must attend the entire class to be eligible to receive a Pack 'n Play.

I understand I am allowed to bring ONE (1) support person over 18 years of age, and NO CHILDREN are allowed in class.

The Safe Baby Academy - Protecting Your Sleeping Baby class will not allow any exceptions to the above terms and conditions.
I further understand that is ANY FALSE information is provided, I will not be eligible to attend any class by the Kohl's Injury Prevention Program in the future.
By checking this bow, I am confirming that all information is correct and I agree to the terms of the Safe Baby Academy - Protecting Your Sleeping Baby Participant Agreement.