End of Life Supportive Alliance (ELSA) Registration Form
End of Life Supportive Alliance (ELSA) is committed to co-creating a supportive space for End of Life Doulas and Death Doulas as well as EOL Practitioners (EOLPs), whilst spreading awareness and volunteering. Please complete this form to apply to join to be part of the EOL Practitioners Registry. It may take you 5-10 mins

Annual Fee - R500 once off annually

Benefits:

  • Annual Fee includes:
  • Listing on ELSA Website for 12 months
  • Free 6 X 2 hour workshops during the year
  • Free Monthly group supervision
  • First to know information on opportunities
  • Recommendations to the public
  • Speaker Opportunities 
  • Volunteer Opportunities
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Email *
Email address *
I give permission for my name and contact details to be added to the ELSA database so that I can be a Friend of ELSA and receive newsletters and event information. *
First Name *
Last Name *
Title eg Dr, Ms, Mrs, Mr etc *
Cell / Mobile Phone Number - for WhatsApp - include country code eg +27 for South Africa *
Country *
What your time zone? eg South Africa is GMT+2 *
Social Media or Website URLs where people can read more about you (Enter n/a if none) *
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