Doula Training Registration Form

Print this form on your printer. Complete the form and mail it along with the registration fee to:

Gentle Beginnings
504 Miner Rd.
Highland Hts., Ohio 44143

Your Name: ___________________________________________________

Address: _____________________________________________________

City: _________________________  State: _________________ Zip: _____________

Telephone: (         ) ___________________

E-mail Address: _______________________________________________

Date you wish to attend? _________________________________________

□ Advanced Registration - $300.00
(Must be received one month prior to workshop)

□ Normal Registration - $325.00
(Must be received one week prior to workshop)

Payment Enclosed:  □ CHECK   □ MONEY ORDER   □ CASHIERS CHECK
Make checks payable to:  Gentle Beginnings
► If we cancel the workshop, we will refund 100% of your registration fee.
► If you cancel within two weeks before day one of the workshop, we will refund 100% of your registration fee.
► If you cancel anytime after two weeks of the first day the workshop begins, we will refund your registration fee less a $50 cancellation fee.