When Survivors Give Birth - live virtual workshop 2024

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

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

This workshop will be presented via Zoom. Participants will receive the Zoom link and workshop materials prior to the workshop.

Early bird: (if you register on or before February 1st, 2024) $275
Full fee: (if you register after February 1st, 2024) $350

Please note: Payment in full is required at the time of booking. No refunds will be issued. If you are unable to attend, you can request to defer to another virtual training within 12 months.

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
How did you hear about this training?
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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When Survivors Give Birth - live virtual workshop 2024

When Survivors Give Birth - live virtual workshop 2024

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