Harbor Birth Institute
Birth Doula Training Registration: May 31 - June 1, 2025
Full Name
*
First Name
Last Name
Date
*
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Month
-
Day
Year
Date
Email
*
example@example.com
Phone Number
*
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Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How did you hear about Harbor Birth Institute?
*
(Did you speak to someone on our leadership team? If so, who?)
What experience do you have with birth?
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What is your understanding of the role of a birth doula?
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Why do you want to be a birth doula? (This response should be a minimum of 2 paragraphs)
*
Basic Birth Knowledge
Describe the Stages of Labor
*
Describe how birth progress is measured: Dilation, Effacement, and Station
*
My Products
*
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Registration Options
Lunch Options on Sunday
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Registration Options
Birth Doula Workshop Training
$
850.00
$850 ($425 is non-refundable, remainder is refundable up to 3 weeks before training date.) If you have extenuating circumstances and are unable to attend, please contact us for options.
Lunch Options on Sunday
Lunch from First Watch
$
20.00
We order lunch as a group from First Watch on Sunday. You can opt out of this but, you will need to bring your own lunch. There is not time allotted for going off site on Sunday.
Opt Out First Watch Lunch
$
Free
Checking this box means you will provide your own food for lunch on Sunday.
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Total
$
0.00
Payment Methods
Debit or Credit Card
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make your payment.
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