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Birth Boot Camp Doula Training Registration Form

During this uncertain time of Covid-19, we are doing our best to ensure that people are able to be trained. If the situation is such that we cannot hold a training, we will move the date or do the training online. If you are more comfortable changing to a later training, no administrative fees will be required. If you have any questions or concerns, do not hesitate to contact us!

Once you submit your Registration, you will be contacted by the Certification Coordinator to arrange payment for your respective Certification Fee, and provided with the next steps to finalize your registration.

Once your Registration is finalized, your Trainer will contact you to pay your Training Fee. You will be provided with your Training Modules once your payment has been made.

Please note that the deadline for each workshop is 6 weeks prior to the start date. Be sure that the workshop you are applying for gives you enough time to complete the work required. Consider these points when deciding on your workshop date. How much time will it take to complete the workload?

  • What is your personal life like? Do you have a newborn? Small children? Do you have a job outside the home? Do you have a lot of obligations?

  • Are you a fast reader? Are you familiar with the material? Are you already a birth professional? These are the people who are able to get through the workload within the deadline of 4 weeks before the workshop.

  • If you are brand new to birth work, are a slow reader, have a busy personal life, or have small children, you might need 4-6 months to complete the pre-workshop reading and study modules.

  • Set realistic goals for yourself. Enjoy the journey of getting certified. Remember, the more prepared you are coming to the workshop, the better equipped you will be to help couples work towards their amazing births.

**All fees are non-refundable

    Name, first and last

    Birth Boot Camp Instructor Number, if applicable:

    Your Email Address

    Your Birthdate

    Street Address



    Zip Code


    Phone Number

    Are you currently a birth professional?

    If yes, please list the organization(s), certifications, and licensing.

    In your own words, briefly explain why you would like to become a Birth Boot Camp Doula:

    What are you most looking forward to learning at your Birth Boot Camp Doula Training Workshop?

    Who can we thank for referring you to the Birth Boot Camp Doula Certification program?

    Cancellation Policy: - All fees are non-refundable. If applicant desires to change to a later workshop date, a $250 fee will be applied. This $250 fee is due immediately to reserve the applicant’s spot in the new workshop. During Covid-19, this fee will be waived.
    I understand the cancellation policy.*

    Terms: - I understand that the full Training Fee is due to the Trainer immediately. If a payment plan is needed, fees must be paid in full no later than 30 days prior to training. A $30 service fee applies for payment arrangements for the Training Fee. I understand that all pre-workshop requirements must be completed before attending the workshop. - As a participant of this training, I agree to allow Birth Boot Camp to publish my information: name, city, state, phone number, and email address for the online listing. - I verify that all of the information given in this application is true. - I understand that photographs and video will be taken the workshop which may include me. I agree to allow Birth Boot Camp to use these photographs and video for full promotional purposes both online and in print. - I will allow Birth Boot Camp to use quotes from my training evaluations - which I may fill out anonymously - for promotional purposes online and in print. - Birth Boot Camp reserves the right to reject any applications for Doula Certification.
    I understand and agree to these terms

    Non-compete/non-disclosure: Before completing your Birth Boot Camp Doula training, you will be asked to sign a non-complete/non-disclosureagreement. The Birth Boot Camp family is large and spread across the globe. Signing of the non-compete/non-disclosure simply ensures protection of the brand for all of the hundreds of other birth professionals that depend on the name for their own financial security. This does not prevent birth work, should you leave the company. It does, however, mean that upon signing you agree to not intentionally harm the name of Birth Boot Camp, use copyrighted materials, conduct trainings, or start a competing company. We are happy to answer any questions you may have.
    I understand the non-compete/non-disclosure agreement

    I acknowledge and agree with all Fee Requirements and Policies, as listed above.

    Please select the training workshop you would like to attend. If you decide to change your workshop date, a $250 fee applies.*

    I'm unsure of which training I would like to attend. I need more information.January 14-16, 2021 - Idaho Falls, IDJanuary 28-30, 2021 - Central FloridaFebruary 18-20, 2021 - Dallas, TXMarch 12-14, 2021 - Boise, IDMarch 15-18, 2021 - OnlineMarch 22-24, 2021 - OKC, OKApril 6-8, 2021 - Baltimore, MDApril 23-25, 2021 - Portland, ORMay 7-9, 2021 - Colorado Springs, COMay 21-23, 2021 - Seattle, WAJune 7-9, 2021 - Central FloridaJune 9-11, 2021 - Spokane, WAJune 14-17, 2021 - OnlineJuly 2021 - SLC, UTSeptember 13-16, 2021 - OnlineNovember 2021 - Dallas, TXDecember 13-16, 2021 - Online

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