The fee for the three-day workshop is $695, or $595 if paid thirty days in advance of the start date. You will receive a confirmation e-mail with workshop details once your payment is received. Workshop fees are not refundable. In the event of an emergency, payment may be tansferred to another DoulaRina workshop.

Name

First Name

Last Name

Would you like the name on your certificate to appear as stated above? If not, please let us know how you would like it to be printed.

First Name

Last Name

If you prefer gender pronouns other than she/her, please specify here.

Choose Your Workshop

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone Number

(###)

###

####

Email Address

Birth Date

YYYY

Briefly describe your experience with birth, including the births of your own children if you have any.

Refund Policy

By checking here you are verifying that you understand that workshop fees are NOT REFUNDABLE. In the event of an emergency, your fees may be transferred to another DoulaRina workshop.

Yes, I understand.

Media Policy

Photos and videos may be taken during your workshop for educational and promotional purposes on the DoulaRina website, FaceBook page and others. If you would like to opt out, please communicate this to Rina.

Yes, I understand.

Payment Method

Please choose your preferred payment method. Instructions will be provided on the next page.

Check or Money Order

Credit Card (Installment Plans Available)

PayPal.Me/DoulaRina

Venmo @DoulaRina