Registration Form 2017
Lamaze -Accredited Childbirth Educator Program
Email address
Last Name
First Name
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Street Address
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State the reasons you are seeking certification as a teacher in the Lamaze Childbirth Educator Program. Indicate why you believe you would make a good teacher.
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What are your goals? What do you hope to achieve after this training? Get specific, what do you hope to get out of your time with us?
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