Doula Mentoring Registration Form
This registration form is for Every Birth Matters Mentoring for doulas.
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Email *
Name *
Address *
Phone Number *
Area of Current Work,  or Experience and other courses attended? *
Mentoring you would like to book? *
Are you joining Doula UK *
Do you have any health issues or a disability?
What are you hoping to gain from mentoring? *
COST: £50 Registration Fee                                                                                                                                         Please note: this is none refundable after 14 days and this is payable with submission of this form.                       Fee payable with Peer Group Mentoring ONLY is £60 *
Additional Payments: £40 per birth debrief (4 required), £40 per postnatal debrief (4 required, minimum 15 hours per job), £30 Sign off with certificate of mentoring complete - providing birth and Postnatal complete together.                                                        Total mentoring: £400.  (these additional payments are paid after the job is complete and before your debrief). *
Cancellation of bookings; If for any reason the mentoring program is cancelled a full refund will be given. *
BIRTH MENTORING                                                                                    1. 4 BIRTHS - WITH VARIETY OF home birth, hospital, MLU (where possible).                                                                              2. You can only accept one friend/relative that count towards recognition *
POSTNATAL MENTORING                                                                     1. 4 POSTNATAL (MIN 15 HOURS EACH)  - (a minimum of two babies under six weeks, breastfeeding, bottle feeding, caesarean birth recovery Where possible)              2. You can only accept one friend/relative that count towards recognition *
Registration payment of £50 payment must be made along with this form, bookings will not be accepted if payment is not made.  The next section will advise you how to make payment.                                                                                    £60 is payable with peer mentoring ONLY.                             *
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