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Active Birth professional training Lisbon 2018
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Full name *
Name as you would like it to appear on your certificate of attendance *
Address *
Phone number
Cellphone number *
Your date of birth *
Your children (if any). Please stage their ages:
What is your current activity and / or involviment with pregnancy and birth? *
What would you like to get from this course? *
How do you plan to integrate the knowledge you gain into your life / work? *
How did you get to know about this course? *
How to book:
Go back to the webpage that directed you to this application form and follow the steps:
http://www.activebirthcentre.com/janet-balaskas-active-birth-workshop-training-portugal-en/
Essential teaching aids you will need on the course:

You must have with you a full-size model of a female pelvis and a fetal doll with a detachable umbilical cord and placenta during this training. These will be the teaching aids you will be using all the time in your own classes or workshops in future and you will be learning to use them during the course.  This is an essential investment in your teaching career so, once your application has been accepted, we urge you to purchase these items as soon possible as we've found that supply and delivery can take several weeks or sometimes even longer.


These are the ones we strongly recommend :
Articulated Female Pelvis (Ref ZJY-590-G) from Educational & Scientific Products: http://espmodels.co.uk
Newborn size doll from HealthEdco : http://www.healthedco.co.uk/79814-Fetal-Model
Detachable umbilical cord and placenta from Birth International : https://www.birthinternational.com/product/placenta-and-cord-model

The pelvis model can also be bought at (though we strongly recommend the model stated above):
https://www.erler-zimmer.de/shop/en/anatomical-models/skeleton-models/pelvises/9166/female-pelvis-with-2-lumbar-vertebrae-flexible-mounted
Refund and cancellation policy:
Please note:

Part 1 (the 2 day workshop) and Part 2 (the 3 day professional training) are booked and paid for separately. Please check the details in each section about how to book.

The refund and cancellation policy is different for Part 1 and Part 2

Cancellation Policy Part 1:

Cancellation fees apply:

For cancellation until September 13th, there is a 50% fee.

For cancelation between September 14th and October 12th, there is a 75% fee.

Once the workshop has started, the payment is non-refundable.

Cancellation Policy Part 2:

Once booked and confirmed with non-refundable deposit of €350, your place is reserved for you. The full fee must be paid one month before the start date of the course i.e. by September 19th.

Refunds for Part 2 are only granted in extenuating circumstances such as admission to hospital or bereavement. There will be a 10% (€120) cancellation fee to cover our costs and any remaining amount paid will be refunded.
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