Partera di Anaku in the Hudson Valley, May 11+12
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.)
If you are booking with a collective/group, please indicate the name of the group here:
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.
Thank you and we look forward to seeing you!
SUBMIT
Should be Empty: