DOULA IRELAND

Information

Doula Training

Name	:
Address	:
Age	:
Home Phone No.	:
Mobile Phone No.	:
Email Address	:
Have you completed any previous Doula training? If so please describe

Are you interested in becoming a midwife? Yes No
How did you hear about Doula Ireland?

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Please enclose full payment of 400 Euro payable to Doula Ireland Ltd and mail to :
34 Ballygarth Manor, Julianstown, County Meath.
For credit card payments you can use Paypal.com and send to TracyDonegan@DoulaIreland.com

Cancellation policy: Cancellation's received within 2 weeks of workshop will receive 50% refund.

Any information you send to Doula Ireland will be held in strict confidence. We will not distribute your e-mail address or any other information contained in this online pre-registration form to any 3rd party.