MotherNurture
Register Here For
Postpartum Doula Training
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1) First Name
2) Last Name
3) Street Address
4) City, State and Zip Code
5) Primary Phone
6) Other Phone
7) Email Address
8) Which Training Are You Registering to Attend?
9-10) I want my Certification Packet in this format:
DM1) How Did You Hear About This Training?
14-15) If you are not already a CAPPA Member; Will you join before training?
16-17) I have read and agree to the Rules and Conditions below.
Rules and Conditions
By submitting this registration form you agree to the following:
I understand there are no refunds for Trainings but I can tranfer to another course with Margi Saxton within 12 months of the original course date with approval from Margi Saxton.
I understand that I must pay for my Training in full at least 30 days before the Training.
I understand that I should not make non-refundable travel arraingements until Margi Saxton has confirmed the Training 21 days prior to the Training start date.
I understand that I must be a CAPPA member to take any CAPPA approved Training and may obtain membership prior to Training at www.CAPPA.net
As a participant in this training, I agree to allow Margi Saxton / CAPPA to do the following:
1) Publish my name, address, phone number and email address for the Trainee Class List and Referral List.
2) Take photographs of the training which may include me, as well as allow the Trainer and CAPPA use these photos for promotional purposes online and/or in print.
3) Use quotes from my Training Evaluations (which I may fill out anonymously) for promotional purposes online or in print.
I understand that I may not record the Training workshop (audio or video). I make take photographs only with the express permission of the Trainer and the participants.
I may not reproduce, publish or distribute any materials in the Training Manual or from the Certification Packet, other than for the purpose of fulfilling my Certification requirements.
I understand that the CAPPA Postpartum Doula Certification Training is only the first step in becoming a Certified Postpartum Doula and that there are several other steps that must be completed by the student after the Training in order
to be eligible for Certification by CAPPA.
I understand that I must attend all days of any Trainings and if I miss any portion thereof, I will not receive a Certificate of Completion and/or CEUs.
I understand that I must be at least 18 years old to get a Certificate as a CAPPA Postpartum Doula.
11) Why Do You Want To Take This Training and/or What Are Your Expectations?
12) What Experiences Have You Had That You Can Relate To This Type of Training?
13) List Other Professional Affiliations / Certifications
