2019

Foundation Birth Doula Training
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BIRTH DOULA

CHB INQUIRY FORM

Hope to deliver at:

home

a hospital

a birth cetner

other

unsure at this time

Are you interested in a postpartum doula as well?

yes

no

What Tier doula are you interested in? Experience may be determined by how many clients a doula has worked with and/ other skills such as lactation, social worker, nutritionist, etc.

Training Tier - $400 - $800 attended 0-6 births

Tier 1 - $1000 attended 7-15 births

Tier 2 - $1400 attended 16-30 births

Tier 3 - $1800 attended 31-70 births

Tier 4 - $2300 attended 71-100 births

Tier 5 - $2500 attended 100 - 199 births

Tier 6 - $2600 - $4000 attended 200 + births

Are you interested in any classes? (check all that apply)

Childbirth Education

Newborn Care

Infant Feeding Basics

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