Doula Workshop Registration

See the Birth Doula Workshop page for complete information about the workshop. 
For prices or to pay by PayPal, go to the main Birth Doula Workshop page.  When registering by PayPal, it is not necessary to also complete this form.


Doula Workshop Registration Form (please print clearly)












Phone #  (____) _____-_______



Email address  _______________________________


 Note:  We do provide several meals but are unable to meet personal dietary restrictions.

 Participants may bring their own food.  Vegetarian options available.  Please let us know if you are vegetarian

Make checks payable to:  Kim Amos
Mail payment & registration to: 
Kim Amos
6004 Columbia Ave
St. Louis, MO  63139