This form is divided in to two sections. The area directly below is for information you want shown on the register and will be
viewable by the public.
The bottom half of this form is for our records only and is not viewable by the public.
Your Full Name
(first and last name only)
Your Email Address
(for clients to conact you with)
Your Region
click on your region below and then select your area within that region
In the box below type up to 5 places within your region you will travel to as a doula
(eg. towns, cities or suburbs)
Your Areas within your Region
Select Region Within Northern Canada
Yukon
Northwest Territories
Nunavut
Select Region Within Eastern Canada
Ontario
Quebec
New Brunswick
Nova Scotia
Prince Edward Island
Newfoundland and Labrador
Select Region Within Western Canada
British Columbia
Alberta
Saskatchewan
Manitoba
Select Region Within Other Areas
English Canada
French Canada
Pacific Canada
Acadia
Quebec-Windsor Corridor
Four Corners
Your Home Phone
Your Mobile Phone
Your website
(if you have one)
http://www.
--------- In the area below, please type the information for our records only ---------
This information
will
not
be viewable by the public and
will not
be given to any other party. If some information is the same as above (Name, Email..etc) retype it below.
Do not
type "
same as above
"
Full Name
Email Address
Home Address
Home Phone
Mobile Phone
USA
UK
Australia
New Zealand
Canada
School of Doula Training
Email or phone of school/course
Year completed course
You must fill out both the top and bottom sections before sending this form
Home
Join the Register
Renew Registration
Become A Doula
Find A Doula
Role of the Doula
Role of the Register
FAQs
Contact Us
STEP 1: Online Form
STEP 2
: Declaration
STEP 3
: Pay Fee
Basic Education
Continuing Education
Role of the Register
Code of Conduct
Limits of Service
Standards of Service
Maintaining Registration
