Facilitator and Speaker Request Form

Please fill out the form below to request a speaker for your event. Alternatively you can download and print a form to send to us here

Facilitator and Speaker Request Form

If you have the finance we would welcome a voluntary donation as this will be used to fund our work – for example providing end of life support to those with a limited income, funding out of pocket expenses for Doulas who support people on a voluntary basis, community work, training costs for people wanting to undertake the Doula role but cannot fund their learning. Visit our donation page for details (opens in a new window).

When this form is submitted your data will be sent by email and stored on this website. We will only use the data for the purposes of processing your request for a speaker. You can read our full Privacy Statement here
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