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  1. RULES and CONDITIONS

    *By submitting this registration form you agree to the following:

    • I understand that there are no refunds for classes but I can transfer to another course with Jill Reiter within 12 months of the original course date with approval from Jill Reiter by paying a $50 transfer fee. If I fail to transfer to another training within 12 months and fail to pay the $50 transfer fee, I understand I will not receive any refunds for monies already paid to the instructor.
    • I understand that I must pay for my training in full at least 30 days before the training or by contacting the instructor to pay with a check.
    • I understand that I should not make non-refundable travel reservations until Jill Reiter has confirmed the workshop 14 days prior to the course.
    • I understand that I must be a CAPPA member before I can become certified as a CAPPA  Postpartum Doula. (You can obtain membership at www.cappa.net)
    • I understand that using the titles CPD or CAPPA Certified Postpartum Doula (or any variation thereof) prior to officially earning my certification from CAPPA will result in being disqualified from being certified.

    As a participant of this training, I agree to allow Jill Reiter/CAPPA  to do the following:

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

    REFUNDS: By registering and paying for this training, I understand that there are no refunds for this training. If student cannot attend this training, all funds will be held for 12 months to be applied to a future training taught by Jill Reiter. To transfer to another training, I understand that I will need to pay a $50 transfer fee. If you fail to transfer to another training within 12 months and fail to pay the $50 transfer fee, all funds will forfeited.

    POLICIES:

    • 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 the trainer.
    • I may take photographs during the training only with the express permission of the trainer and the participants. I may not post any pictures on social media nor email any pictures from the training without express permission of the trainer and the persons in the photograph to do so.  No photographs may be used for advertising purposes, nor sold or transferred to any other party.
    • I may not reproduce, publish or distribute any materials in the training manual.
    • I may not reproduce, publish, photograph, share, email, or distribute any materials in the training binder (handouts) other than for the purpose of using them for my personal business as a postpartum doula. 
    • I understand that this course is only one step in becoming a CAPPA Certified Postpartum Doula.  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 understand that I must complete and return the Pre-Training Assignment to Jill Reiter via email theafterbabylady@gmail.com or US mail no less than 7 days before the first day of the training.
    • I understand that I must enroll in CAPPA Academy after completing my in-person training, to complete my certification. CAPPA Academy is an online certification component, where I can: receive step-by-step instructions on completing my certification, download the necessary forms for certification, take my multiple choice and essay exams. I understand that I only have access to CAPPA Academy for 2 years.
    • I understand that I must attend ALL days of the training.  If I miss any portion of the training, I will not receive a certificate of training completion and/or Contact Hours.
    • A certificate of training completion will be given only if I attend and fully participate in the entire training and the training fees are paid in full.
    • I understand that due to the intense nature of the class and out of respect for the other students, no babies/children are allowed in the classroom during instruction time. Nursing babies may be brought to mom to nurse during breaks and/or lunch and can be coordinated in advance.
    • I understand that using the titles CPD or CAPPA Certified Postpartum Doula (or any variation thereof) prior to officially earning my certification from CAPPA will result in being disqualified from being certified.
    • CAPPA does not assume liability for adverse reactions to foods consumed, or items one may come into contact with while eating at any CAPPA Event, Training or Activity you may attend whether inside or outside of CAPPA planned events and activities.
    • I understand that I must be at least 18 years old to get certified as a CAPPA Postpartum Doula.

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This questionnaire is editable until job is closed.
Please contact
Jill Reiter CPD, owner
586-604-1446 (call or text)
theafterbabylady@gmail.com
www.theafterbabylady.com

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