DONA International Birth Doula workshop

Registration Form (print off and send to: Julie Thompson, P.O. Box 295, Sugar Grove, PA 16350 with payment) if in the States.  Australian workshop attendees, email me and I will give you the info.

 

Name:______________________________________

   

    City:_____________________________________

 

    State:______________________Postal or Zip Code_____

 

 Email:_________________________________________

 

1.  Warren General Hospital, 2 Crescent park, Warren,  PA 16365 March 26, 27, 28, 2010   Conference Room A.

 

2.  Warren, PA, Warren General Hospital, 2 Crescent park, Warren, PA 16365  September, 2010 Conference Room A

 

3.  Brisbane, & Caines  Australia Birth Doula  July 2010; Place to be announced:

 

Phone #:____________________________________

 

 

 workshop_________________

 

Profession:_______________________________

 

Dietary Restrictions______________________________

 

 

 1.  WGH workshop registration costs $375 if paid by March 1, 2010 and $400 if paid after March 1, 2010.  Includes Introduction to Childbirth Education; and Birth Doula Workshop through DONA International, an extensive manual, handouts, and snacks.  Please bring lunch monies or your packed lunch.  Attendees can let me know if you need a place to stay and I will provide that.  Contact me at www.juliedoulaworkshop@verizon.net or 814-489-3796

 

2. Registration costs 425.00 if paid by April 1,2010; $450 if paid by May 1, 2010; and $475 if paid after June 1, 2010 for the July 2010 workshop and includes an Introduction to Childbirth Education course, & Dona International 2-day birth doula workshop, an extensive manual, handouts, snacks, lunch.   Please contact me at        juliedoulaworkshop@verizon.net Registration Closes when 15 people are registered. (for the June, 2010 workshop in Australia)

 

   Workshops include 7 CEU's for Intro to CBE certificate and 16 CEU's for Birth Doula workshop certificate.