Application for Enrolment

Secure your place: Enrol Now!

Step One:
Please fill out the Application Form below. We will typically be in touch within 24 hours of receipt of your application.

* Indicates required field

Name *

First

Last

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone number *

I would like to book a place on the following course: *

If accommodation is available, I would like to find out more: *

I'm booking a refresher course: *

Have you ever been convicted of a crime? *

If so, when? *

Have you ever been barred from working with vulnerable people and/or children? *

If yes, explain: *

I would like to become a doula because: *

Step Two:
Please make your payment.

Refund Policy:
You have 14 days from entering into a service contract in which you can cancel it.
If you want to cancel after this time, unlike many organisations that don’t offer refunds at all, we do – albeit on a sliding scale basis. We don’t offer a full refund because it costs us time and money to process your booking and prepare the event, but our refunds are: If you cancel more than 4 weeks before the event, we’ll give you a 75% refund. If it’s 15 days or more until the event, we’ll give you a 50% refund.If it’s 72 hours or more until the event, we’ll give you a 25% refund. If it’s within 72 hours of the event, we won’t issue a refund at all. Instead, at our discretion, we may offer a transfer to another of our days dependent on your circumstances.Any refund will be paid within 4 weeks after receipt of your completed request for refund. If the course is cancelled by the course provider, a full refund is available.
Please read the full Terms and Conditions and our Privacy Policy.

I have read the Terms and Conditions of booking on the doula course *

I agree to the terms and conditions

I understand that BirthBliss Academy will be using my contact information to respond. *

Yes, you have my permission.

I agree to receiving marketing and promotional materials *

Yes please.

Proceed to payment page to confirm your place!

If you're having problems completing this form, you can download an Enrolment Form here.