Certified Doulas
Hola! Happy to see you have made it to the next step to receiving reimbursement for your services. Please be advised all virtual sessions will be conducted through Google Classroom. 
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First and Last Name *
Email *
Location Preference *
Required
Are you certified by any of the organizations listed? *
Required
Certification organization not listed, please indicate below. *
Contact Number *
Are you committed to attending all 3 sessions? *
Required
Scheduling your session(s)- Please be advised INITIAL SESSION (4 hours) is ONLY available on Saturdays & the subsequent sessions are available during the weekday or Saturday.  NO REFUNDS.  All training material can be retrieved through Google Classroom. 
Signature *
Date *
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