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Interested in Becoming a Doula?

Name:
Email:
Address:
Phone:
Pager#:
Fax #:
How did you hear about this course?
Please feel free to tell us about your own, or any other experience, with birth.
What is your motivation to be a Doula?



Class Size is Limited so Please Submit This Form With $65 Non Refundable Deposit Fee to Hold Your Spot to Mélissa Cowl, 4257 Concession 5, R.R. #2, Loretto, ON L0G 1L0.


If you have any questions please feel free to contact Mélissa at 705.435.3715 or doula@sympatico.ca




 

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