When Survivors Give Birth - live in-person training 2022

When Survivors Give Birth - live in-person training 2022

PLEASE READ THE FOLLOWING INFORMATION BEFORE YOU COMPLETE THE REGISTRATION FORM.

You are registering for the 1-day, in-person training, When Survivors Give Birth with Jenn Fontaine.

Early bird: (if you register more than 6 weeks before your chosen workshop) $275
Full fee: (if you register less than 6 weeks before your chosen workshop) $350

N.B. A deposit payment is required in order to secure your place. The deposit amount will depend on your chosen workshop selection (see "Bundle and Save" options below). A final invoice for the balance of payment will be issued approximately 1 month prior to your chosen workshop(s).

Please note: the deposit is non-refundable. If we cancel the training, we will refund you 100% of your paid amount. You may transfer your registration to another workshop for a fee of $50 up to one month before the start of the training.

We have a strictly limited supply of the book, When Survivors Give Birth by Penny Simkin & Phyllis Klaus. You can purchase a copy (as long as we have stock) when you register for the workshop. Books cost $60 (+ $10 shipping within Australia only). Please select this option in the form below and the cost of the book and shipping will be added to your final invoice.

Name (as you would like it to appear on your certificate of attendance)
Your certificate will be emailed to you following the workshop. Name (as you would like it to appear on your certificate of attendance)
Your certificate will be emailed to you following the workshop. First Last
Organisation or Business that you are representing
Email address
Contact phone number
Your Profession (tick all that apply)

Your Profession (tick all that apply) Midwife / Nurse Midwife Doula Student Midwife Childbirth Educator RN GP OB-GYN Counsellor Psychologist Psychiatrist Social Worker Community Health Worker Other Other
Please select your chosen workshop.

Please select your chosen workshop. SYDNEY: Saturday October 8th, 2022 MELBOURNE: Sunday October 23rd, 2022
BUNDLE AND SAVE!
Please select your preferred option from the list below.

For more information on the DONA Birth doula training, please visit http://birthwellbirthright.com/for-professionals/dona-international-doula-training/

For more information on the Postpartum doula training, please visit http://birthwellbirthright.com/postpartum-doula-training/

BUNDLE AND SAVE!
Please select your preferred option from the list below.

For more information on the DONA Birth doula training, please visit http://birthwellbirthright.com/for-professionals/dona-international-doula-training/

For more information on the Postpartum doula training, please visit http://birthwellbirthright.com/postpartum-doula-training/ I would like to register for When Survivors Give Birth ONLY. (Total fee: $275) I would like to register for When Survivors Give Birth + DONA Birth Doula training (Total fee: $1,200) I would like to register for When Survivors Give Birth + Postpartum Doula training (Total fee: $925) I would like to register for When Survivors Give Birth + DONA birth doula training + Postpartum Doula training (Total fee: $1,600)
How did you hear about this training?
Pre-order a copy of Penny Simkin & Phyllis Klaus' book, When Survivors Give Birth and SAVE!
Your copy will be mailed to you. The book costs $60 + $10 shipping. Please note: we can only mail within Australia.

Pre-order a copy of Penny Simkin & Phyllis Klaus' book, When Survivors Give Birth and SAVE!
Your copy will be mailed to you. The book costs $60 + $10 shipping. Please note: we can only mail within Australia. YES, I would like to pre-order a copy of When Survivors Give Birth
If you are ordering a copy of When Survivors Give Birth, please enter your postal address below:
Please note: We can only mail within Australia. If you are ordering a copy of When Survivors Give Birth, please enter your postal address below:
Please note: We can only mail within Australia.
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Do you have a special discount code? Please enter it in the box below.
If you are a student midwife, please upload a copy of your student ID below.
If you are a student midwife, please upload a copy of your student ID:

Attach Files
Please read the Terms & Conditions before completing this registration form. You can find them on our website here: http://birthwellbirthright.com/2022-trainings-workshops-with-jenn-fontaine-terms-conditions/

Ticking the box below confirms that you have read and agreed to the Terms & Conditions.

Please read the Terms & Conditions before completing this registration form. You can find them on our website here: http://birthwellbirthright.com/2022-trainings-workshops-with-jenn-fontaine-terms-conditions/

Ticking the box below confirms that you have read and agreed to the Terms & Conditions. I have read and agree to the Terms & Conditions
Please tick the box below if you would like to be notified of future events and workshops. Your privacy is important to us and we will never share your details with anyone.

Please tick the box below if you would like to be notified of future events and workshops. Your privacy is important to us and we will never share your details with anyone.
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