PAAPC Registration FormRegistration: PAAPC 2024 (6-18-2024) How did you hear about us? * Please SelectReferralEmail/NewsletterFacebookInstagramYouTubeFamily/FriendFormer StudentNews ArticleTV/Cable NewsState AgencyWebsite/Search EngineOther What session would you like to register for? * Please SelectOctober 17, 2024 Registrant’s First Name * Registrant’s Last Name * ADDRESS Street Address * City * State * Postal Code * Phone Number * Email Address * Education Level * Please SelectHigh 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. 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.CANCELLATION & REFUND POLICYA refund request must be made in writing within 24 hours of your payment ONLY. Full refunds will be issued less an administrative fee of $100.00. Your request MUST include your full legal name and email address. Your request MUST be emailed to support@smcdoulas.com.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 students are required to sign prior to the start date of a course.Do you have a promo code? Yes No Please enter your promo code. * Payment Option * One Payment of $600.00Payment Option * One Payment of $750.00Total Due Today Payment 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
