Placenta & Postpartum Training

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Postpartum Doula Training Registration

Please Fill out the Form Below to Register for the Postpartum Doula Training

Email *

First and Last Name *

Date Of Birth *

YYYY

How Did you Find out About This Training? *

Enter your address here. *

Why are you interested in being a placenta encapsulator/postpartum doula? *

Are you aware that this is virtual only? *

yes

Required

Which session are you interested in?

February

May

August

Have you completed another doula training prior to this one? *

Yes

If Yes, Which Training(s) have you Completed? *

List other credentials, licenses, or certificates held. *

Explain/List All Birth or Postpartum Related Experience. *

Do you have any Allergies or Diet Restrictions? *

Select Your T Shirt Size *

XXL

What is your favorite color? *

Briefly tell me who you are. No Judgment, Just Vibes! *

PLEASE READ TERMS AND CONDITIONS BELOW. Which ever days you register for, you must attend the full day training and present on time. Failure to do so could result in credit not being received towards the certificate of completion. Video must be on with microphone muted unless asking a question or participating during virtual classes to receive full credit. Participation in all classes is encouraged thought the day for all trainings. All Days must be completed to receive certificate of completion. Training Fee's are Non Refundable. Fee can be used as credit for future trainings/classes and redeemed within 1 year of purchase. Payment plans are available with 50% at time of booking is accepted. Balance must be paid 5 Days prior the start of training or you will not receive your care package. - Price for class is $350. Mentees with Birth Doula Training Receive 24% off training. -KEANNA GIBSON COO OF BEE THE DOULA, LLC, The Preemie Doula *

I agree

I Do Not Agree

Will you need a payment plan? *

Yes

If payment plan is needed, please explain how you would like to pay here.

Send me a copy of my responses.

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