Doulas Association of Southern California (DASC)

DASC Membership Form
If you are an existing member and want to renew your membership, click on the link below to login to your account.
Renew membership
First name: *
Last name: *
Type: *
Business name:  
Address: *
City:  
State:  
Zip:  
Primary phone: *
Secondary phone:  
Alternate number:  
Email: *
Yahoo group email:
(if different)		  
Website:  
Birth date: *  
Number of births
attended as primary doula:		  
Number of clients served
as a primary postpartum doula:		  
Additional services you offer to your client:
 
Other:
Max length:100 chars
Would you like to participate
in the DASC referral program?		  
Certifying Organization
Certifications
To participate in DASC's referral program, you must include a copy of your doula certificate or your dated enrollment letter from a DASC approved organization as listed above. Certificates of completion/attendance for workshops/trainings are not sufficient.
Birth Certification or Pending Birth Certification Page Postpartum Certification or Pending Postpartum Certification Page Additional Certification or Pending Certification Page
Please indicate which volunteer opportunities interest you:
 
Do you have other skills you
would like to volunteer
to share with DASC?		  
Fee details
  • in April, May or June, the membership fees are $50
  • in July, August or September, the fees are $40
  • in October, November and December, the fees are $30
  • in January, February and March, the fees are $20
Special Offer for new trainees if joining DASC withing 1 week of training
2 year membership  
Fees for 2-year special offer for new trainees
  • in April, May or June, the membership fees are $75
  • in July, August or September, the fees are $65
  • in October, November and December, the fees are $55
  • in January, February and March, the fees are $45
Trainer's name:  
Date training ended:    
Important! Payment options
NOTE: DONA and/or CAPPA members can ONLY renew with DONA and/or CAPPA during the DASC Membership Drive between April 15th and May 15th every year.
$50
All doulas who wish to join DASC must agree to adhere to the Standards of Practice and Code of Ethics. Thank you, and welcome to DASC!
By submitting this form you confirm that you have read and agree to our Standards of Practice and Code of Ethics.
What's the sum of  10 + 10?