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The Passion for Birth Brochure

The 3 day Workshop Schedule

Location	Event	Payment
Milford, CT   July 30 - August 1 2010	Passion for Birth 3 day seminar Trainer: Robin Weiss Host:  Danielle Elwood   Register/pay by June 30 to receive a complimentary copy of The Idea Box for the Creative and Interactive Childbirth Educator!	Once you have paid for the seminar, please complete the registration form at the bottom of this page!     Seminar registration ($395): Deposit ($100) Can't afford to pay for the enitre seminar fee?  Make a deposit to hold your spot in this seminar. Deposit is non-refundable.   PfB study packet ($180) non-refundable Want to become Lamaze certified?  This packet includes:  Lamaze Study guide Lamaze student on-line membership access to the PfB Learning Task Journal course design support/booklet access copy of the Official Lamaze Guide - Birth with Confidence book a PfB goodie bag!
Albuquerque, NM DONA Conference     August 4 - 8	Passion for Birth 2 day DONA pre-conference Trainer: Ann Tumblin Host:  DONA International	DONA International is handling the registration for this pre-conference.  Registration does NOT include the Study packet. You must attend the DONA conference and the pre-conference seminar.    PfB study packet ($180) non-refundable Want to become Lamaze certified?  This packet includes:  Lamaze Study guide Lamaze student on-line membership access to the PfB Learning Task Journal course design support/booklet access copy of the Official Lamaze Guide - Birth with Confidence book a PfB goodie bag!
Santa Rosa area, CA (Rohnert Park)   Oct. 22 - 24	Passion for Birth 3 day workshop Trainer: Connie Sultana Host:  Connie Sultana   Register/pay by Sept. 22 to receive a complimentary copy of The Idea Box for the Creative and Interactive Childbirth Educator!	Once you have paid for the seminar, please complete the registration form at the bottom of this page!     Seminar registration ($395): Deposit ($100) Can't afford to pay for the enitre seminar fee?  Make a deposit to hold your spot in this seminar. Deposit is non-refundable.   PfB study packet ($180) non-refundable Want to become Lamaze certified?  This packet includes:  Lamaze Study guide Lamaze student on-line membership access to the PfB Learning Task Journal course design support/booklet access copy of the Official Lamaze Guide - Birth with Confidence book a PfB goodie bag!
High River, AB Canada   Nov. 12 - 14	Passion for Birth 3 day workshop Trainer: Sharon Dalrymple Host:  Sharon Dalrymple   Register/pay by Oct. 12 to receive a complimentary copy of The Idea Box for the Creative and Interactive Childbirth Educator!	Once you have paid for the seminar, please complete the registration form at the bottom of this page!     Seminar registration ($395): Deposit ($100) Can't afford to pay for the enitre seminar fee?  Make a deposit to hold your spot in this seminar. Deposit is non-refundable.   PfB study packet ($180) non-refundable Want to become Lamaze certified?  This packet includes:  Lamaze Study guide Lamaze student on-line membership access to the PfB Learning Task Journal course design support/booklet access copy of the Official Lamaze Guide - Birth with Confidence book a PfB goodie bag!

OTHER FEES  Note: fees for the Lamaze certification exam are additional and paid directly to Lamaze.
Study Packet	$180 PfB study packet  This packet includes your on-line Lamaze Study Guide, on-line Lamaze membership, PfB Learning Task Journal access, access to creating your course design booklet, copy of the Lamaze Official Guide - Birth With Confidence book and a PfB goodie bag.  Get started today. Non-refundable.
Review/feedback on your course design (optional but recommended)	$75  Includes downloadable "Putting Together Your Course Design booklet" and review of course design and return postage.
LCCE (Lamaze Certified Childbirth Educator)	$195 for seminar (and contribution of snacks for the group - yum!) Your role will be as a resource for new educators.  You will receive 20 Lamaze and nursing contact hours you can use towards your recertification.We limit the number of LCCEs per seminar, so before registering, check with Teri to see if the seminar you want has room for a LCCE.
Host	Seminar fee waived per 8 - 10 paid seminar attendees (if less than 8 pay, PfB will negotiate with host for possible lodging for trainer and/or providing food/beverages for the seminar in lieu of registration)  The Study Packet fees are NOT waived for the host. Email us for information on hosting a seminar
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Ready to get started?  Sign up here: (if registering for just the seminar, only the boxes with the * are required)
*Location of seminar: (if unsure, write unsure)
*Date of seminar:
*How will you pay?	Credit card through paypal Credit card through Google accts. Check sent to PfB Purchase order Payment plan info. needed Received scholarship from Lamaze
*Contact information:
*First name:
*Last name:
*Email address:
*Company:
*Mailing address:
*Easiest phone number to reach you: *Do you receive text messages at this #?	Yes No
*AIM NAME for IM
*Best way to contact you:	Email address Phone number Mailing address AIM IM FACEBOOK
*Are you on Facebook?
*Additional information:
*Which pathway are you on?	New/traditional path Experienced/open path Midwife/midwifery student Seminar only unsure/confused
*What are you top 3 favorite ways to learn?	Demonstration/Return Demonstration Discussion Lecture/Powerpoint Reading/Researching Roleplay Small group tasks Watching DVDs
Briefly describe your experience in birth and/or teaching: Why are you coming to a PfB seminar? Names and email addresses for two people who we can contact as references to say you would be a great childbirth educator.

It's our preference that you complete the enrollment form on line but if you need a hard copy to complete, a word document with the same questions is downloadable here:

click here to Word PfB application file