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 (April 29, 2010).
4) To pay a deposit or the full fee
using PayPal, simply return to this form after pressing the Submit button.
5) If you want to make a payment and have already registered, just proceed to the bottom of the page and
use the appropriate PayPal button.
6) You may also register or pay via
regular mail; just follow the instructions at the bottom of this page.
7)
Please read the
Payment
and
Refund
policies below, before you register.
Your mailing address:
(street)
(city, state, zip)
Your email address:
Your phone numbers:
home
work
cell
Where did you hear about the doula training?
Emergency Contact (while you are at the training):
Name:
Relationship:
Phone Number(s):
Anything else you'd like me to know?
I have read and understand the Payment Policy, Refund Policy, and
Cancellation Policy
Yes
No
To prevent automatic form submissions:
please enter the number you see in the picture
below here:
You must click here
to submit your registration form before making any payments:
WARNING: Before
making any payments below, click the 'Submit' button above or your
registration information will be lost! Please see Note below
regarding PayPal payment refunds.
PAYMENT SECTION
Birth Doula Training Fee -
$400
Birth Doula Training
deposit - $200
To pay your Workshop balance now:
Birth Doula Training balance - $200
Or, you can
print this form and complete
it, and return along with your deposit to:
Carrie Kenner
Big Belly
Services
5307 S. Alaska
Street
Seattle, WA
98118
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
the Birth Doula Training. 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. 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 8 people have registered by
May 1, 2010, the workshop may be cancelled and all Deposits and
Workshop Fees will be refunded in full.
