Six Dimensions, LLC. | Public Health Consulting | Business Development for Birth Workers Training Registration Form
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Business Development for Birth Workers Training Registration Form

Business Development for Birth Workers Training Registration Form

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Business Development for Birth Workers Training Registration Form
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Email *

Name *

Location (City, State) *

Business or Organization Name *

Are you currently a birth worker? *

If yes, what type of birth worker?

How long have you been in the field? *

Do you have any dietary restrictions? If so, please explain. *

In what areas of business do you need the most support? *
COVID-19 Protocol Agreement
I agree to adhere to all COVID safety protocols put in place by the event organizers and the event venue, which includes:
– Wearing a mask at all times, except for when eating and drinking
– Not attending if I am feeling unwell (fever, cold, cough, etc)
– Not attending if I have tested positive for COVID-19 or if I have a COVID-19 test pending
– Frequent hand washing & sanitizing when appropriate and necessary
– Physical distancing
– Temperature checks upon arrival
By dating and submitting this form, you agree to adhere to the aforementioned COVID-19 protocols. *
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