Mama Walk Registration

Please note: Rain happens, and births do, too! I am a birth doula, which means that sometimes I am on call for a birth. If it rains, or if my client goes into labor, and I am unable to hold a scheduled Mama Walk, I will contact the registered mamas as early as possible. A reschedule date will be set. If the reschedule date doesn’t work for you, you may also make up the walk on another future date.

Your Name
Email
Preferred Phone
Cell Phone (if different from above)
Address
Emergency Contact (name and phone)
Hiking Comfort (choose all that apply)	Flat paths only Gentle slopes Steep slopes Paved only Wide paths only Any trails work for me
Please tell me about your pregnancy or your little one (how many weeks/months along, or how old, anything else you’d like to share)
If your little one has been born, will she/he be coming with you?
How would you like to pay?	I am paying now by PayPal ($12). I will bring $15 check or cash to the workshop. Please hold my spot.
What else would you like me to know?
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