Name *
Phone *
Are You a Current Doula? *
Do you intend to follow through with your certification? *
Do you commit to finishing the pre-requisites? *
One book from the approved reading list Birth interviews
I understand that this is an application and that the application process will not be finished until Utah Doulas & Company receives a deposit in my name. *
All collected fees will be returned should your application be rejected.
Preferred Payment Options *
I understand that upon acceptance to the program, I will have until 14 days before the first day of training to pay the remaining fees and complete any prerequisites. *
Should you fail to contact us and do not turn in the fee and/or the prerequisites, you risk being dropped from the class.

Payment can be made via Venmo @kasaundra-trout. Please contact us if you need to make alternate payment arrangements.