Where

Good Samaritan Medical Center

235 North Pearl Street
Moakley Conference Center
Brockton, MA 02301

Event Address Map
Driving Directions

Contact

Registrar
BACE-NMC
617-244-5102
bacenmc@gmail.com

DONA Approved Birth Doula Training- January 2020

* Required information

Personal Information

  • NOTE: You can register for both Intro. to Childbirth Ed. and the Doula Training with this form.

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  • Please list a valid phone number. We will not call you unless necessary and will not share your number.

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  • Promo Code

    Apply
  • Fee

    Type Fee
    $500.00
    $675.00

Employment Information

Birth-Related Experience (if any)

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    Are you a certified childbirth educator?

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PAYMENT INSTRUCTIONS

  • IF PAYING BY CREDIT CARD: Be sure to click the CONTINUE button at the bottom of the page to complete payment process.

  • IF PAYING BY CHECK: Please be sure to hit the REGISTER button at the bottom of the page to submit your information. We will hold your place for up to 4 business days to allow time for your check to arrive. (Contact us for other arrangements). SEND TO: BACE-NMC, 69 Court St., Newton, MA 02458.

Colleague Information

You may add a maximum of 10

Tax-deductible Donations

Item Qty. Max Limit Price

$5 Donation to Scholarship Fund

Help those who cannot afford the full cost to attend the training. You can select more than one option to make up the total of your tax-deductible donation.

10 $5.00 each

$10 Donation to Scholarship Fund

10 $10.00 each

$20 Donation to Scholarship Fund

10 $20.00 each

$25 Donation to Scholarship Fund

10 $25.00 each

$50 Donation to Scholarship Fund

10 $50.00 each
$9,999.99

Payment

Payment Method

  • Please make check payable to:
    BACE-NMC
    69 Court Street
    Newton, MA 02458

Payment Summary


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