Training Registration Form

Doula Training Registration Form OLD
Are you registering for yourself or someone else?
Registrant's Legal Name
Registrant's Legal Name
First Name
Last Name

Please provide a physical street address in the U.S. where the SMC Training Manual can be sent. Please note we cannot deliver to post office boxes or APO/FPO in the U.S. If your shipping address is outside of the U.S., an handling additional fee of $ 25.00 plus the cost of shipping will be charged prior to shipping the Training Manual.
Mailing Address
Mailing Address
Street Address
Unit or Apartment #
Zip/Postal Code
Registration Fee

One Full Payment: $1,468.00


Payment Information
Payment Information