Doula Services Network Membership MEMBER REGISTRATION FORM Please Select Membership Type*CLICK TO VIEW MEMBER BENEFITS > Doula - $25 / Year Doula Trainer - $25 / Year Childbirth Educator - $25 / Year Doula Company / Organization - $25 / Year What is your Doula Specialization* Birth Doula Postpartum Doula Antepartum Doula Lactation Counselor/Consultant Other Other Doula SpecializationPlease add additional doula specialization not listed above.Name of Company / Organization Upload Logo or Profile Picture*Please upload a logo or profile picture hereMax. file size: 20 MB.Member Name* First Last Member PhoneMember Email Website Upload Additional ImagesYou can upload up to 3 images here. Drop files here or Select files Max. file size: 20 MB. Certifications*Please add all Certifications here DONA (Doulas Of North America) ALACE (Association of Labor Assistants and Childbirth Educators) CAPPA (Childbirth and Postpartum Professional Associations) CBI (Child Birth International) ICEA (International Childbirth Education Association) MaternityWise International Other Childbirth Educator Certifications The Bradley Method Lamaze Technique HypnoBirthing Technique Alexander Technique Other Other Childbirth Educator Certifications Please Add Additional Certifications Here:Doula Experience*Please detail your doula experience and include years of experience and number of births attended.Doula Trainer, Company or Organization BioPlease add experiences, years in business and any additional information to describe your business.Childbirth Educator Experience/ Bio*Doula Fees / Doula Training Fees / Etc.*Please list fees for doula services, workshops or certifications hereChildbirth Class FeesLanguages Spokenplease add the languages you speak here. Service Area ( Area of Practice ) Address / LocationPlease include at least your city and state. This will allow your profile to show up in more search results. Street Address (optional) City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code I Was Referred By:*Referral Person NameNo One Referred MeAlexis HainesAllison HarrisAnthony Lentinebarbara SmoakBethany Beecher-ThomasC McNeil-ThomasCalvin CoxCamilla YrureCarolyn McPhersonCathryn SmithChristine CavaleaChristy A JohnsonChristy LutterlohColleen MyattDale KaplanDana SmithDanielle SchumanDeBorah IngegnoEllie LindenmayerJennifer MumfordJennifer RiveraJessica BroddrickKimberly Cullisonkimberly youngKristal KelleyLarisa CoxLinda ReasonLindsay MillerMarissa FarrellMariyam MedovayaMegan BrownPam FerindePaulette ButlerRegina MartinRenea Capozzi CottoRowan GayShandy DestinStefanie JohnsonTammy UvaTiffany ShankVanessa LewisVirginia FleischmanMember Login InformationUsername* Password* Enter Password Confirm Password If the Member Registration Form Does Not Appear, Click Here >
