'... Birthspirit belongs to all women and families. She manifests that which has been unsaid, expressing her self in the language of women. Knowing her fills the void that exists from the loss of story telling in our families and our communities. She enables us to see the depths - and to see the simplicity.' more About Birthspirit

Postal Registration Form

Birthspirit's Midwifery Skills for Emergencies Intensive - 2012 Programme - Postal Registration Form

 

Please print this form, complete it, enclose a cheque for $583.00 made out to Birthspirit Ltd., and post to:

Birthspirit, 15 Te Awa Road, R.D. 3, Hamilton 3283, New Zealand.


Please book me for the following (please circle one):   

Midwifery Skills for Emergencies March 7th - 9th 2012 (Wed - Fri) FULL

Midwifery Skills for Emergencies October 17th - 19th 2012 (Wed - Fri)

Midwifery Skills for Emergencies November 7th - 9th 2012 (Wed - Fri)

Midwifery Skills for Emergencies November 28th - 30th 2012 (Wed - Fri)


Accommodation needed
(please circle one)    Yes   /   No

Please circle one:      Employed   /   Self employed


Name:             ........................................................................................

Address:         .........................................................................................


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Email:            .........................................................................................   


Phone:          ........................................................................................

Midwifery Council Registration No. ......................................................

If you wish to speak to someone about the Intensive please phone Maggie Banks on 07 856 4612 or email her at maggiebanks@birthspirit.co.nz


         


Birthspirit is the website of Birthspirit Ltd, 15 Te Awa Rd, RD 3, Hamilton, New Zealand
Email: maggiebanks@birthspirit.co.nz or tonybanks@birthspirit.co.nz Phone 64 7 856 4612 Fax 64 7 856 3070

Birthspirit and the 'B' styled symbol at the beginning of the name Birthspirit are registered trademarks belonging to Birthspirit Ltd. All intellectual property rights in that name and symbol, together with those relating to this website, belong to Birthspirit Ltd.

Webmasters: Tony Banks