Registration: Doula Training (Nurturely – In-Person Dedicated) What session would you like to register for? * Please SelectDecember 5 – 8, 2024 (In-Person) Registrant’s First Name * Registrant’s Last Name * ADDRESSPlease 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. Street Address * City * State * Postal Code * Phone Number * Email Address * Education Level * Please SelectSome high schoolHigh school graduate or equivalentTrade or vocational degreeSome collegeAssociate degreeBachelor's degreeGraduate or professional degree Ethnicity (Optional) Please SelectAfrican American or BlackAfrican ImmigrantAmerican Indian or Alaska NativeAsianLatino/Latina/LatinxNative Hawaiian or Other Pacific IslanderWhiteTwo or More RacesI'd rather not say. Have you trained as a doula with another program? * Yes No Please list the program(s) you have participated in. * In your own words, please tell us what you hope to gain from training as a SMC Full Circle Doula Birth Companion. * SOCIAL MEDIA PRESENCE Instagram Facebook LinkedIn MEDIA RELEASEBy registering for any of our training programs, you agree that your image, likeness, and sound of your voice as recorded on audio or video tape can be used by SMC Doulas for promotional and educational purposes, without payment or any other consideration. You also understand your image may be edited, copied, exhibited, published, or distributed and waive the right to inspect or approve the finished product wherein your likeness appears; waive any right to royalties or other compensation arising or related to the use of your image or recording.IN-PERSON COURSE POLICIES1) I will attend all scheduled classes. The trainer has the discretion to decide if I am meeting participation requirements and receive a Certificate of Completion. Actively participate during class. 2) I will honor group agreements established on the first day of the training session. 3) I will keep all information shared in class confidential. Take the lesson, leave the stories. 4) I will not record any of the class. 5) I consent to SMC recording class sessions and understand that portions of the recordings may be used for educational, training, and promotional purposes.ONLINE COURSE POLICIES1) I will attend all scheduled class sessions. If I am going to arrive late (more than 10 minutes) or be absent, it is my responsibility to communicate that in advance of a session. Should I miss one or two sessions, I understand I may be asked to complete makeup work and catch up on any missed material on my own. The trainer has the discretion to decide if I am meeting participation requirements and receive a Certificate of Completion. Actively participate during class including in breakout rooms. Have my camera on for majority of the class session and will participate in break out rooms. 2) I will honor group agreements established at our first meeting. 3) I will keep all information shared in class confidential. Take the lesson, leave the stories. 4) I will not record any of the class sessions. Each class member will have access to recordings of the sessions in the learning portal for the duration of the course. 5) I consent to SMC recording class sessions and understand that portions of the recordings may be used for educational, training, and promotional purposes. 6) I will complete all class homework in a timely manner. 7) I understand I must complete the course by the last day of the course and any extension granted will be a limited one and pursuant to our Extension Policy.By clicking Register Now below, you agree to SMC’s Cancellation, Refund, and Course Policies above as well as SMC’s Privacy Policy and Terms of Use. I have also reviewed the Media Release that all learners are required to agree to as a condition of enrollment. Register Now If you are human, leave this field blank. Share this: Share on Facebook (Opens in new window) Facebook Share on X (Opens in new window) X