Pregnancy, Prenatal Classes - Adar Massage and Birth Services, located near Commercial Drive and East First Ave, Vancouver, BC

Adar Birth Services

By appointment only.
Serving Vancouver, BC
& surrounding areas. 778-VIP-CARE (847-2273)

info@adarbirthservices.com
Doula Speed Dating Application Form
All fields marked with a red star must be filled.
First Name*
Last Name*
Business Name
Phone 1*
Phone 2
Email*


Promo Materials*
Already sent or dropped off 
 Sending or dropping off in the next three days 

Please supply Adar Birth Services with 12 copies of any promo materials (business cards, brochures, flyers, one-pagers, references, etc) that you would like parents to have. These can be sent or dropped-off to:
Adar Birth Services1911 Kitchener StVancouver, BCV5L 2W6
Queer-friendly clarification*
 I confirm that I am LGBTTTQ-friendly as described below. 

What I mean by Queer Friendly
For some people, the term, queer-friendly just means, being comfortable with two moms. However, this event is open to the queer community as a whole, not just monogamous couples. Please take a moment to read the following excerpt from an ad I'm posting with x-tra west:

"Your doula will be accompanying you in one of the most meaningful and intimate moments of your life, so it is import to find one who is Queer Friendly and a good fit. Browsing through websites can be confusing and interviewing multiple doulas can be very time-consuming. The Doulas at this event have all been hand-selected for their dedication to birthing families and their LGBTQ-friendliness. Whether you are a queer single-mom, transgendered, intersex, an adoptive couple and birth mother, newlywed dykes, unconventional queer extended family, or a BDSM couple, you can feel confident coming to Doula Speed Dating." Please let me know if you feel comfortable with that description. I really want to be sure that people from all parts of the LGBTQ spectrum feel welcome and not just tolerated."

If you have any questions, aren't sure, etc, please let me know. I promise full confidentiality, so if you decide that you are not comfortable with it, you can say so without risking embarrassment or judgment. Thanks, Aimée
Training*
 I have completed training with a recognized doula training facility or program. 

All doulas must have completed training with a recognized doula training facility (i.e. DONA, CAPPA,Childbirth International, Hypnobirthing, Birthing From Within, Wise Woman Way of Birth).

If your training was not with one of these, please email Aimée with the name of the organisation or person you took your training with. info@AdarBirthServices.com
Certificates
Use this uploading section for any certificates issued by a recognized Website.
If you are listed on the website of such a body, you can add the link in the next section.
Certificate 1
Certificate 2
Certificate 3
Certificate 4
Certificate 5
If you have more than 5 certificate that you want to upload, please email the remaining ones directly to info@AdarBirthServices.com
Website Verification of Credentials
Use this section for any certificates that are verified online (eg. if you are listed as a certified DONA doula on the DONA website).
Website 1
Website 2
Website 3
Website 4
Website 5
If you are listed on more than 5 websites, please email the remaining ones directly to info@AdarBirthServices.com
Availability*
In the six months following each of the events that I am applying for:

I have ample availability. 
I have limited availability. 
My practice is full. 
Current Status*
I am currently practicing as a doula 
I am not currently practicing as a doula 
Bio (135 words max)*
Please avoid repeating details that are already requested in this form such as training and certification.
Headshot *
Black and white or greyscale & high contrast is preferred. Min 400x400 pixels, max 2MB.
Tagline
(eg. "Your own doula")
Website


Your logo


Areas of service*
If there are some areas that you cover only partially, please be specific about this.
Active years as a doula*


Births attended as a doula*



Fee*


Services included in fee*
eg. home visits, lending library, photography, massage, birth plan assistance.
Services offered for an additional fee


References available*
yes 
no 


Birth story provided.*
yes 
no 
(Some doulas will provide parents with a copy of the birth story as they saw it unfold.)
Backup arrangements*
What are your backup arrangements? Do you work as a team with another doula or doulas? Do you rely on the wider doula community for backup? Do parents have the opportunity to meet your backup?
Maximum number of clients per month*



Image Verification
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**If you have clicked on the Submit Application button and nothing happens for a few seconds, please check your form again for red flags that indicate missed fields. Some fields must be filled in.**

 

Doula Speed Dating - As Featured on CBC Radio!

"About Doula Speed Dating" - How Doula Speed Dating works with Amanda Spakowski of the Nesting Place in Toronto.

"Mystery Date" - A fun look at Adar Birth Services' Doula Speed Dating in Vanouver.



Gift Certificates for massage make a great gift for pregnant friends or new parents! Check out our Pregnancy Massage Package.

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