Registration for the two-day conference

Looking Back Facing the Bright Future

23. a 24.10.2026, hotel GLOBUS, Praha

Fill in all fields in the Personal and Contact information sections. We assure you that we do not share your private information with anyone else (we are not a commercial company), it is used only for the internal needs of the NGO Birth House Stork (correspondence with you, internal statistics of the NGO Birth House Stork).

In the Telephone field, enter the telephone number of your contact phone, that means the phone number on which we can reliably reach you if necessary. Include the country code.

All fields in the form are mandatory!

Personal and contact information

Title, surname, first name: The name must be filled in!

Residence

  - Street and house number: The street must be filled!

  - ZIP code: ZIP code must be filled!

  - City City must be filled!

Profession: Profession musz be filled!

Workplace (name and town): Workplace must be filled!

Telephone (mobile): Number must be filled!

E-mail address: E-mail address must be filled!

Invoice

After receiving your registration, we will send you an e-mail confirmation of receipt of payment. If you need an invoice, please, fill in the billing information.

I am paying for the conference myself and I do not need the invoice

a) I am paying for the conference myself and I need the invoice
b) someone else is paying for the conference and I need the invoice for him

Workshops

Please note that workshops are intended for conference participants, so it is not possible to register only for workshops! First register for the conference, then choose the workshop!

If you are interested in attending a workshop, please select one (you can also register for both):

Water Birth for the 21st Century with Dianne Garland from the UK, Friday
The ABCs of Safe Support during Normal Childbirth with Barbara Kosfeld from Germany, Saturday

Anti-spam protection
To prevent automated programs, so-called bots, from abusing communication services, a system has been introduced to prevent this abuse. The system consists of two elements: an alphanumeric code and a verification box. The alphanumeric code is represented either by distorted text or an image with hidden text. A robot cannot read the “modified” text in this way; only a human can. By reading these characters and manually writing them into the verification box, the robot ensures that the form is being sent by a human and not a robot. If the field is left blank or filled in incorrectly, the system will not allow the form to be sent.
Please copy this five-digit code into this field:
Pay attention to the numbers 1 and 7 and letter l when copying the code! They are very similar in shape and mixing them up often causes an error when copying the code.

Checking the data and submitting the application
Check all the data you have entered. If they are correct, click this button:

	mobilní telefon: 602 958 396

	e-mailová adresa: info@pdcap.cz


	poštovní adresa: Porodní dům U čápa, o.p.s. Augustinova 2 148 00 Praha 4
All communication, both oral and written, can be run in English language

Personal and contact information
Title, surname, first name:	The name must be filled in!
Residence
- Street and house number:	The street must be filled!
- ZIP code:	ZIP code must be filled!
- City	City must be filled!
Profession:	Profession musz be filled!
Workplace (name and town):	Workplace must be filled!
Telephone (mobile):	Number must be filled!
E-mail address:	E-mail address must be filled!