Registration Form for DouLA Birth Partners of LA

Register

HypnoBirthing®
The Mongan Method

Name:
Email:
Address:
City, State:
Zip:
Phone:
Fax:
Educational Background:
Occupation:
	To register for a Doula Workshop, please select dates below:
Level 1	Level 2
March 6	March 13, 20
Aug 7	Aug 14, 21
	To register for HypnoBirthing classes, please select dates below:
	Jan 15 - Feb 12 Apr 15 - May 12
Comments:

	Doula Workshop Fees - Level One: $150. Level Two: $395.Pre-registration of both levels qualifies for $50 discount. Send entire amount with registration, or a deposit of $100 each level payable to Ellie Shea, RN, to confirm a seat. Remaining balance due at workshop. Refund policy: $10 processing charge if notified in writing at least 7 days prior to training. 50% refund with written notification 4-6 days prior to training. No refunds within 3 days of training. Registration Deadline is 10 days prior to workshop. Call for space availability if less than 10 days.