BIRTH DOULA TRAINING

 REGISTRATION FORM

Instructions:

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

2)  A deposit of $200 is due at the time of registration to secure your space in class. 

3)  Full payment is due two weeks prior to the workshop beginning (May 9, 2008).

4)  To pay a deposit or the full fee using PayPal, simply return to this form after pressing the Submit button. 

5)  If you want to make a payment and have already registered, just proceed to the bottom of the page and use the appropriate PayPal button. 

6)  You may also register or pay via regular mail; just follow the instructions at the bottom of this page.

7)  Please read the Payment and Refund policies below, before you register.

 

Your full name:

Your mailing address:

(street)

  (city, state, zip)

Your email address:

Your phone numbers:

home

work

cell

Where did you hear about the doula training?

Emergency Contact (while you are at the training):

        Name:           Relationship: 

        Phone Number(s): 

Anything else you'd like me to know?

I have read and understand the Payment Policy, Refund Policy, and Cancellation Policy

Yes No

 

 

To prevent automatic form submissions:

please enter the number you see in the picture below here:

 

 

 

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

                                                                                                                               

WARNING:  Before making any payments below, click the 'Submit' button above or your registration information will be lost!  Please see Note below regarding PayPal payment refunds.

PAYMENT SECTION

To pay in full now:
Birth Doula Training Fee - $400

To pay your deposit now:
Birth Doula Training deposit - $200
To pay your Workshop balance now:
Birth Doula Training balance - $200

Or, you can print this form and complete it, and  return along with your deposit to:

Carrie Kenner

Big Belly Services

5307 S. Alaska Street

Seattle, WA  98118

 

Payment Policy:  Your deposit is due at the time of registration.  The balance  is due two weeks prior to the workshop beginning.   An invoice will be sent to you as a reminder  prior to payment due dates. 

 

Refund Policy:  Please understand that you are making an intentional commitment to me and your self when you register for the Birth Doula Training.  Your deposit is used for your materials and to cover overhead costs, and to reserve your space in the class.  So, if you cancel for any reason, there is NO REFUND of your deposit.  If you cancel 2 weeks or more before the workshop, your Workshop Fee may be refunded in certain circumstances.  If you must cancel less than 2 weeks before the workshop, your Deposit and Workshop Fee may be refunded only if your spot can be filled by another participant on a waitlist.  If your spot cannot be filled, the amount of your Deposit and Workshop Fee will be applied to another workshop held by Big Belly Services within the next year, or forfeited. 

 

Note regarding PayPal payment refunds:  Big Belly Services offers PayPal as a convenience for its customers.  Big Belly Services absorbs the cost of PayPal fees when payments are made.  However, if refunds are requested for a payment made with PayPal, the PayPal fees (approximately 3%) will be deducted from the refund amount. 

 

Cancellation by Big Belly Services Policy:  If fewer than 8 people have registered by April 25, 2008, the workshop may be cancelled and all Deposits and Workshop Fees will be refunded in full.

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