Advanced Doula Training

 

 

Doulas, Midwives, and Nurses in Adoption:

How birth professionals can successfully support birth mothers and adoptive parents

 

 

Saturday, May 31, 2008

9:00am - 5:00pm

Seattle Midwifery School

4000 NE 41st St, Building D, Suite 3

Seattle, WA

 

$75 members / $85 non-members

 

 

REGISTRATION & PAYMENT FORM

 

 

Instructions:

1)  To register, please complete this form and press the Submit button at the bottom. 

2)  To pay the fee using PayPal, simply return to this form (by using your browser's Back button) after pressing the Submit button. 

3)  If you have already registered and want to pay now, just proceed to the bottom of this page and use the PayPal button. 

4)  You may also register or pay by check via regular mail; just follow the instructions below.

 

*To pay by check, please download this registration form.  Complete the form and mail with your check to 2524 16th Avenue South, Room 207A, Seattle, WA  98144.

 

*Refund Policy:  You will receive a full refund minus $25 processing fee if you cancel before May 16, 2008.  After that date there are no refunds.

 

 

 

Last Name

 

First Name

 

Address

 

City

 

State

 

Zip Code

 

Home Phone

 

Work Phone

 

Cell Phone

 

Email Address

 

Alternate Email Address

 

 

 

In what capacity are you attending this training? (Press the ctrl button if you are choosing more than one option)

 

 

How did you hear about this training?

 

Are you interested in becoming a PALS Doulas board member?

 

 

 

You must click here to submit your registration form before making any payments:

 

 

 Then use your Back button to return to this page to pay via PayPal:

 
        

      $75 member fee
       

 

          $85 non-member fee

 

 

Thank you!  If you have further questions, call Brenda @ 206-329-7257 or email info@pals-doulas.org