enCIRCLE DOULA WORKSHOP REGISTRATION FORM

Instructions:

1) To register, please complete this form and press the Submit button.

2) A deposit of $200 is due at the time of registration to secure your space in class.

3) Full payment is due two weeks prior to the workshop beginning

4) To pay a deposit or workshop fee using PayPal, follow the instructions on the registration confirmation page after pressing the Submit button.

5) If you would like to pay by check, please send to Big Belly Services, 6225 S. Langston Rd., Seattle, WA 98178.

6) Please read the Payment, Refund, and Cancellation policies below, before you register.

Your Name	*
Address	*
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Email address	*
Home phone
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Select a Date
How did you hear about this workshop?
Emergency Contact Name
Emergency Contact relationship
Emergency Contact Phone
Anything else you'd like us to know?
I have read and understand the Payment Policy, Refund Policy, and Cancellation Policy	*	Yes No
Payment Policy: Your deposit is due at the time of registration. The balance is due two weeks prior to the workshop beginning. An invoice will be sent to you as a reminder prior to payment due dates.

Refund Policy: Please understand that you are making an intentional commitment to me and your self when you register for a Birth Doula Workshop. Your deposit is used for your materials and to cover overhead costs, and to reserve your space in the class. So, if you cancel for any reason, there is NO REFUND of your deposit. If you cancel 2 weeks or more before the workshop, your Workshop Fee may be refunded in certain circumstances. If you must cancel less than 2 weeks before the workshop, your Deposit and Workshop Fee may be refunded only if your spot can be filled by another participant on a waitlist. If your spot cannot be filled, the amount of your Deposit and Workshop Fee will be applied to another workshop held by Big Belly Services within the next year, or forfeited. All refunds will be issued via check or via PayPal. A $10 administrative fee is deducted from all refunds.

Note regarding PayPal payment refunds: Big Belly Services offers PayPal as a convenience for its customers. Big Belly Services absorbs the cost of PayPal fees when payments are made. However, if refunds are requested for a payment made with PayPal, the PayPal fees (approximately 3%) will be deducted from the refund amount.

Cancellation by Big Belly Services Policy: If fewer than 4 people have registered four weeks prior to the workshop beginning, the workshop may be cancelled and all Deposits and Workshop Fees will be refunded in full.
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