Postpartum Sealing Retreat & Workshop Application 2023

Postpartum Sealing Retreat & Workshop Application 2023

This form is an application for the Postpartum Sealing Workshops of 2023:

August-24th-28th, 2023
Postpartum Sealing Workshop
Primo Tapia, Baja Mexico

and

September 14th -18th, 2023 (SOLD OUT)
Postpartum Sealing Workshop
Rosarito , Baja Mexico

If select the September option you will be placed on a waitlist should a seat open up.

Registration is contingent on acceptance .

Note that once you receive an acceptance letter you will be promoted to register and put down a deposit or sign up for the payment plan. I not be holding any seats. Please only submit this application if you are prepared to put down a deposit ($300).

Please ensure that you save my email in your email address book (matrizmidwife@gmail.com) to ensure that my emails do not go to spam.

Scholarships for these workshops are exclusively reserved for members of the "Unveiling the Journey a Mentorship for Aspiring Parteras". Please do not request a scholarship.

NOTE : There is an error message that sometimes pops up after submitting this form. Please disregard it. Your application will come through.

Name Name First Last
Pronouns
Instagram Handle
Email
Phone Phone - ### - ### ####
Web Site
City and State of Residence
Which workshop would you like to be waitlisted on ? Choose all that apply.

Which workshop would you like to be waitlisted on ? Choose all that apply. August 24th -28th , 2023 September 14th -18th Waitlist Spring 2024 Waitlist
Have you attended one of my Postpartum Sealing Workshops in the past?

Have you attended one of my Postpartum Sealing Workshops in the past? yes no
Do you consider yourself a birthworker?

Do you consider yourself a birthworker? yes no
Do you consider yourself a bodyworker?

Do you consider yourself a bodyworker? yes no
Would you like to be put on my 2024 Workshop waitlist if these workshops sell out?

Would you like to be put on my 2024 Workshop waitlist if these workshops sell out? yes no
What inspires you to attend this Postpartum Sealing Retreat & Workshop? *
Tell me more about your profession / birthwork / bodywork and how you hope this Postpartum Selaing workshop will benefit your practice , community and or clients? *
Have you taken any of my workshops or course offerings in the past? If, so which ones? *
Tell me about the way you currently serve your postpartum clients? *
Have you ever received any similar postpartum teaching through apprenticeship, workshops or course ? If so , please tell me more . *
Is there anything else you would like to share with me? *