Name
*
First Name
Last Name
Preferred Pronouns
She/Her
He/Him
They/Them
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
I would like to begin receiving email updates about MMA meetings and announcements
*
Yes
No
Are you joining or renewing as a:
*
Midwife
Student
Retired Midwife
Supporter
Reason for Joining:
Midwifery Practice Name:
*
Would you like your midwifery contact information listed on our website for potential clients?
*
Yes
No
I need more information
Please indicate your midwifery credential:
*
CPM
CNM
Both CNM & CPM
What information would you liked listed on the website?
If you are comfortable, please include and logo or image of yourself to represent your practice!
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By signing my name below I agree to allow my contact information to be listed on the Missouri Midwife Association website.
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Midwife Membership
A Midwife is any person that qualifies as a trained Midwife.
$
75.00
Student
A student midwife is a person who is currently enrolled in a midwifery school or program, or who is currently serving in an apprenticeship or internship.
$
50.00
Retired Midwife Membership
A Retired Midwife is a person that formally practiced midwifery but is no longer taking clients and considers her/himself retired.
$
50.00
MMA Supporters Membership
Without consumers like you, midwives wouldn't exist in Missouri. Your part in helping midwives stay legal and hired is undeniable. An MMA supporter can be a homebirth mom, midwife advocate, medical professional, or anyone who wants to be a part of championing midwives. This money goes directly to help support continued access to midwives in Missouri. *MMA Supporters do not have voting privileges.
$
30.00
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