Panelist Sign-up Form for Considering Community Birth Q&A Sessions
Hosted by Blossom Birth and Family, these weekly sessions are designed to offer general information for those considering birthing at home or in a birth center with a midwife. Please use this form to sign up to be a panelist for all the sessions that work for your schedule.

During the session we will highlight your practice and invite you to share more about your work. The second half of our program will include a live Q&A session where participants can interact with our panelists. We are very grateful for your willingness to share your time and knowledge!

For more details about the session please visit Blossom's website: https://www.blossombirthandfamily.org/considering-community-birth.html
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Please check off the dates that work best for you to be a panelist. All sessions will be held on the first Tuesday of the month between 8pm-9pm. *
Required
For the dates above, would you like to be a panelist for all the dates you have chosen? *
If no, please indicate how many panels you would like to be on and/or any other scheduling needs we should be aware of, thank you!
Please check off all that apply to your role. *
Required
Your name as you'd like it to appear on the program *
Your email address *
Your phone number *
The name of your practice, url and short description that we can include it in the program.
Any other suggestions/comments for the organizers? *
The views and opinions expressed in Considering Community Birth Q&A Sessions are those of the individual presenters and do not necessarily reflect the official policy or position of all midwives, midwifery organizations or Blossom Birth and Family.  Thank you!
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