Winter 2018 Labor Doula Workshop Registration Form

Workshop Dates and Times: Thursdays from 4:30pm-8:00pm 1/25, 2/1, 2/8, 2/15, 2/22, 3/1, 3/8, 3/15, Make up 3/22

Location: Birthingway College of Midwifery, 12113 SE Foster Rd., Portland, OR 97266

Workshop Fee: $500• Coursepack Fee: $28 (non-refundable)• Late fee, if registering after the registration deadline: $75 (non-refundable)

Payment:
Check: – Make check payable to Birthingway College. Mail (with registration form) to:
Birthingway College
12113 SE Foster Rd.
Portland, OR 97266.

PayPal – credit card payments are accepted through PayPal to

payment@birthingway.edu

Complete instructions at:http://birthingway.edu/for-students/make-a-payment/
If paying through PayPal, you must include a copy of your PayPal confirmation with your registration.

Deadline: You must submit a completed registration form along with full payment by Thursday, January 18, 2018 at 5:00pm.

Three Methods to Register:

DOWNLOAD AND COMPLETE THE REGISTRATION PDF:

2018 Winter Labor Doula Workshop Registration Form

1. After downloading, open the registration form and fill it out. Email the completed registration pdf file and proof of PayPal payment to:

info@birthingway.edu

or

2. Print, complete and mail the registration with proof of payment or check to:

Birthingway College
12113 SE Foster Rd.
Portland, OR 97266.

or

3. Fax the registration form and proof of payment to:

503-760-3332 (FAX)
Please call 503-760-3131 to confirm that we have received it!

Refund Policy: Written notice is required for a refund, and must be received no later than seven days before the first day of the course for the student to receive a 95% refund. If written notice is received after that point, 80% of the workshop fee will be refunded up to the first day of the workshop. No refund will be made on or after the first class day. For more information, see our current Student Handbook and Catalog.