Shanti Uganda Doula Training Registration
Retreat Dates: October 20 - 27th 2018
Retreat Location: Luwero, Uganda at the Shanti Uganda Birth House

Contact us at kate@shantiuganda.org for any questions or concerns!

First Name (as it appears on passport) *
Your answer
Last Name (as it appears on passport) *
Your answer
Date of birth *
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/
DD
/
YYYY
Best Email Address To Contact You *
Your answer
Address (including City & Postal/Zip Code) *
Your answer
Phone Number (including area code) *
Your answer
Home airport (where you plan to fly out of)
Your answer
Do you have any allergies or dietary restrictions? Please detail below
Your answer
Do you have any health conditions that we should be aware of? Anything that would effect your ability to participate in the training?
Your answer
Do you have previous experience with supporting pregnant or birthing women? Please detail below
Your answer
How did you hear about Shanti Uganda?
I would like to pay my $250USD nonrefundable, non transferable deposit via
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