Midwest Doula Trainers present...  

Registration Form

Space is limited.
Please register soon to assure your place!

Early Registration Discount is three weeks before the first day of the workshop.
Please postmark your registration form by that date deadline.

If you have questions about course content, call or email Amy Gilliland at (608) 257-2294 or Ruth Ancheta at (262) 796-1737.

To register, print out the registration form on your printer and complete the necessary fields. Mail completed form with a $175.00 deposit; check or US Money Order only. Make checks payable to Alternative Birth Services:

If you pay by credit card, you can charge the entire course fee through a PayPal account. (More information is on the Upcoming Workshops page. ) You can copy and paste the registration form into an email and send it to amylgilliland@charter.net. Please make sure that you receive a email back from Amy within a few days to confirm your registration.