CAPPA Childbirth Educator Registration

cappa-logo-200Registration Form





Terms & Conditions

By submitting this registration form, you agree to the following terms and conditions:

I agree to allow CAPPA Faculty to do the following:

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

I agree to the cancellation policy

I agree to the following policies:
  • I am at least 18 years of age.
  • 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 my trainer.
  • I may not reproduce, publish or distribute any materials in the training manual.
  • I may not reproduce, publish or distribute any certification materials, other than for the purpose of fulfilling my certification requirements (i.e. copying the evaluation forms for my clients to fill out)
  • I may not reproduce, publish, photograph, share, email, or distribute any materials in the training handouts or manual other than for the purpose of using them for my personal business as a educator.
  • I understand that this course is only one step in becoming a CAPPA Certified Childbirth Educator. 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 may take photographs of CAPPA Faculty and the participants ONLY with the express permission of CAPPA Faculty and the participants. I may not use these photographs for any purpose other than personal use. No photographs from the training may be distributed via email, posted to my website, Facebook account, or other online media, unless express permission has been granted. No photographs may be used for any advertising purpose, nor sold or transferred to any other party.
  • Babies/children are not permitted at training. Nursing babies are welcome during lunch. Off-site childcare arrangements are the sole responsibility of the trainee.
  • I understand that CAPPA Membership, the Childbirth Educator Certification Packet, and the CAPPA Academy Fee are not included in the price of the workshop.
  • Certificate of training completion is given only if the entire training is attended and training fees are paid in full.
  • I understand that I am not registered for this training until I have completed this registration form AND my payment has been received by Teresa Maskery.
  • I understand that I will receive an email confirmation of registration from Teresa Maskery within 2 business days. If I do not receive a confirmation, I will contact Teresa Maskery at to confirm that my registration was received.