Lamaze Registration Form

Your Name (As you want it on your certificate of completion) (required)

Phone number: (required)

Your Email (required)

Your Address (required)

Your City/Province (required)

Your Postal code (required)

Your Occupation: (required)

Professional credentials: (ie. RN, CD(DONA) )

Do you plan to certify with Lamaze?

Do you have any childbirth education teaching experience? Describe

Please briefly describe any other experience related to childbirth:

How did you hear about this seminar?

Briefly describe your goals for attending this seminar

Refund Policy
Cancellations available 30 days or more before workshop start date minus a $40 handling fee. No refunds will be made within 30 days of the workshop, however registrants may apply the fee towards a future workshop with I.T.S Birth services. Cancellations within one week of class must pay a $50 administration fee to rebook and apply fee towards another workshop.