Special Workshop Registration

Dandelion Birth Services Special Workshop Registration

Starred items are required information. Look for a "Thank You" message after clicking the submit button to let you know the form has been submitted correctly.
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail*
How did you hear about this workshop?
Workshop for which you're registering*
What can you tell me about your hopes for this workshop?
Payment may be made via PayPal or Venmo or by contacting me for other options.

Please be sure to put your name and class for which you are registering in the memo with your payment.

Please note: Your spot in class will be reserved only after deposit has been received unless other arrangements have been approved.
Fee schedule:

Self Love Circle: $15/week suggested love donation

Ceremony Building Workshop: $20-50 suggested love donation, minimum $10 deposit

Birth Art Night: $10-20 suggested love donation, minimum $5 deposit

Pregnancy Connection Circle: $100 full fee, $25 deposit

Birth Trauma Healing Workshop: $85 full fee, $25 deposit

Confident Mothering/Intuition Workshop: $65 full fee, $25 deposit
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Dandelion Birth Services Special Workshop Registration