Earth Traditions Philadelphia, PA Death Midwife Certification

On-Line Registration for November 8, 9, 10, 2019

(Think of it like a concert ticket. However, class credit is transferrable, and can be extended for one year, upon request, and is valid in any location.)

Legal Name *
Legal Name
How do you want it to appear on your certification which is a legal document?
What would you like to be called? (For Name tag)
Date of Birth *
Date of Birth
MM/DD/YEAR
Address *
Address
Phone *
Phone
PA-11/2019

IMPORTANT

Please Click Submit Button Before Proceeding to Payment Options

Registration is non-refundable. Class credit is extended to one calendar year.

The Schedule is:  

  • Friday: 9am-8pm

  • Saturday: 9am-7pm

  • Sunday: 9am-6pm

In order to receive the certification you must participate in all class discussions and activities, and be present, and on time for the duration of the class each day.

Service Dogs must comply with ADA Title 2 & 3 regulations. If you have a Service Dog, please advise us in advance. Info@DeathMidwife.org

 

EXPLANATION OF PAYMENT OPTIONS:

Early Bird Rate Before September 14, 2019 - $700.00

Regular Registration after September 14, 2019 - $750.00

Non-refundable Deposit $350.00 - Holds your seat until 09/14/19 at $700.00 rate.  Balance due after 09/14/19 is $400.00

5 Payments of $155.00 at your own pace. Full balance of $775.00 due by November 1, 2019

Please Be Sure You Have Clicked the Submit Button for the Form Above Before Proceeding to Payment Options

Use the drop down menu below to select your payment amount.

DM PA 2019