BBI Doula Training Registration Form Email * Legal Name * Name and Pronoun you go by First Name Last Name Phone * (###) ### #### Training Dates * MM DD YYYY How find you find us? * Word of Mouth Social Media Recommended by Birth Professionals Other Tell us about yourself * What motivates you to pursue doula training, and what do you aim to achieve from this education? * I understand that things happen in the class belong to the class and are confidential. * Yes No I consent to having my contact information included in the class roster and shared with all class participants. * Yes No Other Training Fees * You are eligible for the Early Bird Special rate of $700.00 up to two months before the training. After this period, the fee will increase to the standard rate of $755.00. Blissful Birth Initiations acknowledges the burden of third-party payer fees and strives to reduce these expenses for our doulas and clients alike. We accept both personal and cashier's checks. Kindly issue the check to Diksha Berebitsky and send it to 3344 Donnelly Dr SE, Olympia, WA 98501. Additionally, we accept Venmo payments @Diksha-Berebitsky (last four digits of phone number 6593), with an extra $10 processing fee. MM DD YYYY Cancellation Policy * A full refund is available if cancellation occurs 30 days prior, subject to a $150 processing fee. To transfer a class, a $100 fee applies, and the request must be made 30 days in advance. For missed classes due to birth or illness, attendance of 100% of the training is required to make up for the portions missed. Additional processing and class fees may apply. There are no refunds for missed classes, and some classes may not be available for makeup. Early Bird Reduced Tuition is available if registered 2 months in advance. Yes NO I have read and agree with the cancellation policy. * Yes No Thank you!
