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Certified
Professional Labor Support Specialist/Perinatal Support Specialist Seminar
Series

Birth Wisdom - Irvine Business
Park - off Bake Pkwy
One Saturday 9am – 5pm then...
Eight Consecutive Weeks
Monday Evenings 6pm – 9pm
Registration/Application Information:
Name __________________________________________
Address ________________________e-mail ________________
City ____________________ State ______ Zip_________
Occupation: M.D. ___ Nurse ___ Midwife ___ Childbirth Educator ___
Doula ___ Other _________________________________
Total cost of
seminar series is $1500.00
due before series
begins.
Registration Fee: $50.00
due 30 days
before series begins.
Check #_____ Check should be made payable to BIRTH WISDOM
Registration is limited
to ensure small class size. Cancellations: Registration may be cancelled
by written request 30 days before series begins.
A $50.00 processing fee
will be charged. Refunds: No refunds after series begins. A new
session can be scheduled.

Mail completed application and check to:
27525 Puerta Real, Suite
100-285, Mission Viejo, CA 92691
Fax 949
425-09262
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