2nd Time Moms Inquiry Form

Please complete and submit this inquiry form and we will confirm receipt. To make sure our email gets delivered to your Inbox, please add second@pacemoms.org to your contacts list.

Sending your information even before your baby’s arrival helps us plan. Just make sure you also let us know when the baby actually arrives!

We will contact you soon about available groups for your area. Submitting this form does not guarantee placement in a group, though we do our utmost to place everyone.

The registration fee for the 5 two-hour sessions is a total of $250. Need-based scholarships are available; please inquire in the “additional comments” section to receive more information.

At this time, all second-time around PACE groups are held virtually.

Questions? Check out our FAQs

We look forward to meeting you and your baby!

Name

First Name

Last Name

Address

PACE currently serves moms in the metro DC area, including DC, VA (Falls Church, Alexandria, Arlington, and Fairfax counties only), and MD (Montgomery and Prince George's counties only)

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email

Cell Number

(###)

###

####

Older Child's Name and Age (Or Age when New Baby is Expected)

CHECK THIS BOX IF YOUR BABY HAS ARRIVED

Yes, baby is here!

Baby's Name

Baby's Date of Birth

MM

DD

YYYY

CHECK THIS BOX IF YOU'RE STILL WAITING FOR YOUR BABY TO ARRIVE

I'm patiently waiting!

Baby's Due Date

MM

DD

YYYY

CHECK THIS BOX IF YOU PLAN TO RETURN TO WORK

That's my plan right now!

Anticipated date, if returning to work:

MM

DD

YYYY

Are you a Pace Alum?

Additional comments

Please indicate if you will be requesting scholarship assistance

How did you hear about PACE?

Emergency Contact Information

In case of a medical emergency please provide the required information below

First Name

Last Name

Relationship to you

Cell Number

(###)

###

####

Your agreement below will help ensure that our emails get delivered to your inbox (required)

I would like to receive emails from PACE

I would NOT like to receive emails from PACE

FIRST TIME & SECOND TIME MOTHERS:

1st TIME MOTHERS & 2nd TIME MOTHERS: Please complete and submit the online form. We will contact you regarding the available groups in your area and the registration process. Your information will be held confidential and will not be shared with any other entity. PACE has a no refund policy. Missed sessions cannot be prorated or made up. PACE is a small non-profit organization so please accept our apologies for any delays in getting back to you.