Shanti Uganda Doula Training Registration
Retreat Dates: October 20 - 27th 2018
Retreat Location: Luwero, Uganda at the Shanti Uganda Birth House
Contact us at
for any questions or concerns!
First Name (as it appears on passport)
Last Name (as it appears on passport)
Date of birth
Best Email Address To Contact You
Address (including City & Postal/Zip Code)
Phone Number (including area code)
Home airport (where you plan to fly out of)
Do you have any allergies or dietary restrictions? Please detail below
Do you have any health conditions that we should be aware of? Anything that would effect your ability to participate in the training?
Do you have previous experience with supporting pregnant or birthing women? Please detail below
How did you hear about Shanti Uganda?
Friend or family
Google or other web search
I would like to pay my $250USD nonrefundable, non transferable deposit via
E-transfer (Recommended for Canadians)
Paypal (Recommended for non-Canadians ) - a 2.2% fee will be added to cover our costs
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