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
Select your region below. If you are close to the border of a certain region you may wish to choose more than one
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  
   
   
       
 

Your Home Phone

Your Cell 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
Cell 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