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)
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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
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.