New Eden Birth & Wellness Skills and Drills
From Prevention to Response: Hemorrhage Management
Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
What area of birthwork to you support?
Doula
Student Midwife
Birth Assistent
Midwife
Nurse
Other
Which portion of the Skills & Drills would you like to attend?
Fellowship & Worship Brunch Only ($50)
Training and Skills Only ($100)
Combine Full Day ($150)
Dietary Preferences
Gluten Free
Dairy Free
Vegan
Vegetarian
Pork Free
Beef Free
Pescatarian
I understand that New Eden Birth & Wellness PLLC Skills & Drills Training is provided for educational and professional development purposes only. Participation does not provide certification, licensure, credentialing, or authorization to perform any skill or procedure outside of my individual education, training, professional scope of practice, or applicable laws and regulations.I understand that this training may include hands-on clinical skills practice, simulations, emergency preparedness exercises, medical equipment, supplies, medications, herbs, and other training activities. I voluntarily participate and assume the ordinary and inherent risks associated with these activities. To the fullest extent permitted by law, I release New Eden Birth & Wellness PLLC, its owners, instructors, employees, contractors, and representatives from claims arising from those inherent risks or from my own actions or failure to follow training instructions. This release does not apply to liability that cannot legally be waived.I understand that all information provided is educational and is not individualized medical or legal advice. I am responsible for practicing within my own training, competency, credentials, and legal scope of practice.I understand and acknowledge that New Eden Birth & Wellness PLLC is a Christian, faith-based practice. Training may incorporate prayer, Scripture, Christian fellowship, and discussions of faith. I understand the faith-based nature of the training and agree to maintain respectful and professional conduct toward instructors and fellow participants. By signing here and submitting my registration, I acknowledge that I have read, understand, and voluntarily agree to this waiver and acknowledgment.
*
Continue
Continue
Should be Empty: