CAPPA Childbirth Educator Training

0/200 words
Type of Births Experienced *
Certification steps you plan to complete before training *

Terms and Conditions

By submitting this registration form, you agree to the following terms and conditions:

I agree to allow CAPPA Faculty to do the following:

  • Publish my name, phone number, and email address for the doula trainee class list & referral list.
  • Take photographs of the training which may include me, as well as allow CAPPA Faculty and CAPPA to use these photographs for promotional purposes online and in print.
  • Use quotes from my training evaluations (which I may fill out anonymously) for promotional purposes online and in print.

I agree to the following cancellation policy:

  • There are no refunds for this training.
  • I should not make non-refundable travel arrangements, until Brenda Bach has confirmed the training.
If I cancel less than one week before the beginning of the workshop, I will not be eligible for a transfer.
  • If I wish to transfer to another training, I must receive approval from Brenda Bach.
  • If I fail to show for the training, I am not eligible for a transfer.
  • Only ONE transfer of registration is permitted. If applicant does not attend a workshop within 12 months, all fees are forfeited.
  • I understand that I must pay in full 30 days before the training or my place will not be reserved unless I have made arrangements with Brenda Bach.
  • I understand that if I am paying by PayPal, I will receive an email invoice within 48 hours. If my payment is not received by the invoice date  (unless arrangements have been made with Brenda Bach), my place in the training will not be reserved.
  • I understand I should not make non-refundable travel arrangements unless I have received confirmation from CAPPA Faculty that the training is confirmed.

I agree to the following policies:

  • I am at least 18 years of age.
  • I understand that I may not record the training workshop (audio or video).
  • I understand that I may not photograph any PowerPoint slides, training materials, certificates of completion, or any other intellectual property belonging to CAPPA or my trainer.
  • I may not reproduce, publish or distribute any materials in the training manual.
  • I may not reproduce, publish or distribute any certification materials, other than for the purpose of fulfilling my certification requirements (i.e. copying the evaluation forms for my clients to fill out)
  • I may not reproduce, publish, photograph, share, email, or distribute any materials in the training handouts or manual other than for the purpose of using them for my personal business as a educator.
  • I understand that this course is only one step in becoming a CAPPA Certified Childbirth Educator. There are several other steps that must be completed by the student after the training in order to be eligible for certification by CAPPA.
  • I may take photographs of CAPPA Faculty and the participants ONLY with the express permission of CAPPA Faculty and the participants. I may not use these photographs for any purpose other than personal use. No photographs from the training may be distributed via email, posted to my website, Facebook account, or other online media, unless express permission has been granted. No photographs may be used for any advertising purpose, nor sold or transferred to any other party.
  • Babies/children are not permitted at training. Nursing babies are welcome during lunch. Off-site childcare arrangements are the sole responsibility of the trainee.
  • I understand that CAPPA Membership, the Childbirth Educator Certification Packet, and the CAPPA Academy Fee are not included in the price of the workshop.
  • Certificate of training completion is given only if the entire training is attended and training fees are paid in full.
  • I understand that I am not registered for this training until I have completed this registration form AND my payment has been received by Brenda Bach.
  • I understand that I will receive an email confirmation of registration from Brenda Bach within 48 hours. If I do not receive a confirmation, I will contact Brenda Bach at to confirm that registration was received.

I verify that all the information provided in this registration form is true. I further affirm that by filling out this online registration form and by typing my name in the box below, I agree to the terms as given herein, and my electronic signature is in lieu of my physical signature.  
Powered byFormsiteReport abuse