Tell Us More About You
I'm excited to welcome you to our family of childbirth educators.  I'd love to learn more about you and your plans for GentleBirth in your community.
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First and Last Name *
Website if applicable *
Cell phone: *
What is your current profession? *
Why have you chosen to become a GentleBirth Childbirth Educator? *
Where did you hear about GentleBirth? *
Do you have any experience facilitating childbirth education classes?  Please describe below or write not applicable. *
List your social media business accounts i.e Instagram, Facebook, TikTok, Twitter *
Are you certified with another CBE organization such as Lamaze, CBI, HypnoBirthing (Mongan Method)? *
Briefly describe how you plan to reach expectant families in your community to promote your classes? *
I agree to provide CBE to clients without discrimination on the basis of race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, family structure, sexual orientation, or military status. *
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