Partera di Anaku in New York - May 9-10
Registration Form
Full Name
*
First Name
Last Name
Phone Number
*
Format: (000) 000-0000.
E-mail
*
example@example.com
Are you currently a birthworker? If so, what role (postpartum doula, midwife, etc.)
Is there anything important for us to know about you? Accommodation needs, allergies, anything you'd like to share.
How did you hear about the workshop?
Upon submission of this form, kindly send the registration fee to @doulanamedhannah on venmo.
Your seat is not reserved until both registration and payment have been received. Thank you and we look forward to seeing you!
SUBMIT
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