Midwifery Today Conference

Registration Form

Berkeley, California, • June 19–22, 2022

“Birth Revolution”
Zoie Wilson⁠—zoiewilson.com

Zoie Wilson⁠—zoiewilson.com

Thank you for your interest in attending the Midwifery Today Conference. To submit your registration, please fill out the information below. Please be aware that your space is not reserved until payment is received.

PLEASE NOTE: This is an interactive form; there are follow-up sections which do not appear until certain choices are made. You will need to be prepared with your contact info, the dates you will attend and class choices where offered, decisions on online membership status, and method of payment including credit card details, if paying by credit card.

* = required field


Covid-19 Travel Restrictions:

Requirements for travelers to the United States.

  • We highly recommend that you wear a KN95 mask when indoors to protect yourself and others.
  • We do not require, but we recommend, vaccination against Covid 19.
  • Our goal is to keep everyone as safe as possible while enjoying each other’s company and sharing our calling of birth.

1. Name and Address

Include my contact information on lists distributed to other attendees. *

2. Class Selection

Please make your day and class choices.
 
Please check off each class you will attend. Select one class from each set of concurrent sessions offered on the days you will attend. For example, if you will attend the conference on Wednesday, you need to select one class from A1 through A3. Class descriptions can be found in the conference program.
 
Conference classes may be changed after registration, depending upon availability. Please check our updates page.
Monday, June 20, 2022: Conference Day 2

Select one class: A1 – A3 | 3:30 pm – 5:00 pm :
 *
Tuesday, June 21, 2022: Conference Day 3

Select one class: B1 – B3 |1:30 pm – 3:00 pm: *
Wednesday, June 22, 2022: Conference Day 4
 
Select one class | 1:30 pm – 3:00 pm: *

3. How to Determine Conference Prices

Prices do not include transportation, overnight accommodations or meals. Look up your price in the table in the Conference Prices and Payment section, below.

Discounts

  1. Note that the table shows discounted prices for those who register by May 9, 2022.
  2. 12-month members to Midwifery Today online receive a 10% discount.
  3. Tuition-paying students who register for two or more days may deduct 30% if they submit proof of their student status. Proof of student status should be submitted as soon as possible after registration and may be e-mailed to conference@midwiferytoday.com, or mailed by post to the contact information on the confirmation page. The student discount may be combined with the online member discount.

 

4. Conference Prices and Payment

Select the prices that apply to you in Section 5 of this form.

Postmark on or before May 16, 2022
Non-member
1-day: $135.00
2-day: $270.00
3-day: $350.00
4-day: $440.00
12-month online member (10% discount)
1-day: $121.50
2-day: $243.00
3-day: $315.00
4-day: $396.00
June 13, 2022 (in-office deadline)
Non-member
1-day: $145.00
2-day: $290.00
3-day: $380.00
4-day: $470.00
12-month online member (10% discount)
1-day: $130.50
2-day: $261.00
3-day: $342.00
4-day: $423.00

5. Your Order

Please select the price based on the number of days you will attend. 
(Be sure the number of days you select agrees with the number indicated under #2 Class Selection.)
 *
Student Discount (Applies to students who pay tuition, who register for two or more days, and provide proof of current enrollment)
(This selection is revealed only when 2 or more days are selected above.)
Please indicate if you are applying for the student discount. *
1-year online member discount 
Please indicate if you have a 12-month Online Membership .
 *
Current Total:
$0.00
Questions about this registration form or about the conference? Please contact us at conference@midwiferytoday.com.
Refund and Cancellation Policy: If you cannot attend the conference after you have registered and sent in your payment, you must call or e-mail the office and let us know on or before the cancellation date. You will be refunded the amount you paid minus 30% for processing. The cancellation date for the conference is May 16, 2022. No refunds after this date. *
Disclaimer: Midwifery Today, Inc., cannot be held responsible for natural disasters, labor strikes, acts of war, or other events that may cause the conference to be rescheduled. Midwifery Today, Inc., reserves the right to postpone the conference to another time, date and, if necessary, location. In the event of a conference postponement, no refunds will be issued. Registrants can transfer their fees toward any other Midwifery Today conference. Midwifery Today, Inc., reserves the right to substitute teachers and/or classes. The views and opinions expressed by teachers are their own and may not represent the views and opinions held by Midwifery Today, Inc., and its staff members.

Notice: Changes to the program: Speakers, classes or other details may change. We recommend that prior to registering you check our website for changes.
 *
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TO SUBMIT FORM AND PROCEED WITH PAYMENT
 
Review your order above and make any corrections now. In the area below, select from the following payment options and be prepared with credit card details, including billing address, if choosing credit card, before submitting form:
Payment Method *