When Survivors Give Birth

When Survivors Give Birth

Please complete the registration form below for When Survivors Give Birth with presenter, Jenn Fontaine.

Please note: your registration will not be confirmed until payment has been received.
The workshop details are as follows;

MELBOURNE
Date: Tuesday 9th March, 2021
Time: 8:30am registration for a 9:00am start – 5.30pm
Venue: TBC
Cost: (Early bird rate available until January 31st, 2021) $250 / Full fee: $300
Price includes morning tea, lunch and afternoon tea.

BRISBANE
Date: Thursday April 1st, 2021
Time: 8:30am registration for a 9:00am start – 5.30pm
Venue: TBC
Cost: (Early bird rate available until January 31st, 2021) $250 / Full fee: $300
Price includes morning tea, lunch and afternoon tea.

Pre-order your copy of Penny Simkin & Phyllis Klaus' book, When Survivors Give Birth when you register for the workshop and SAVE! Books cost $55 when you pre-order at the time of registration. A very small number of books will be available on the day and will cost $70 each.

Please note: As we are unable to accept registrations on the day, all registrations must be made online in advance.

Name (as you would like it to appear on your certificate of attendance)s Name (as you would like it to appear on your certificate of attendance)s * First Last
Organisation or Business that you are representing
Email (Primary) *
Contact phone number *
Which event are you registering for? *

Which event are you registering for? Melbourne: Tuesday 9th March, 2021 Brisbane: Thursday 1st April, 2021
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
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 available to collect at the workshop. The book costs $55 incl. GST.
A strictly limited number of books will be available on the day for sale. Books purchased at the workshop cost $70 each.

Pre-order a copy of Penny Simkin & Phyllis Klaus' book, When Survivors Give Birth and SAVE!
Your copy will be available to collect at the workshop. The book costs $55 incl. GST.
A strictly limited number of books will be available on the day for sale. Books purchased at the workshop cost $70 each. YES, I would like to pre-order a copy of When Survivors Give Birth NO, I just wish to pay for the workshop
If you would like to pre-order more than one copy of When Survivors Give Birth, please indicate below how many copies (in total) you would like to order.
Morning tea, lunch and afternoon tea are included in the cost of registration. Please let us know of any dietary restrictions or allergies you have. We will do our best to accommodate your needs.
Do you have a special discount code? Please enter it in the box below.
If you are a student midwife, please bring your student ID on the day of the event.
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.