Community Partner Membership Registration

Thank you for your interest in becoming a Community Partner! This membership is for birth workers, organizations, and service providers who align with our mission and want to connect with and support our community. Please complete the application below and submit your registration payment to finalize your membership.

Name

First Name

Last Name

Business or Organization Name

Email Address

Phone Number

(###)

###

####

Physical Address

Do you serve clients in Columbia, SC?

What services do you offer? What category would you like to be listed under?

Do you provide community-based services? What are the qualifications?

Are there any specific ways that you would like to partner with us?

(Events, workshops, programs, etc)

Website or Social Media Link

By typing your name below, you affirm that your services align with the mission of the Black Doulas of Columbia Collective and that you aim to serve the community with integrity and care.

Once you press submit, you will be directed to the payment screen to complete your registration fee. If you are not redirected automatically, click here to proceed with payment.