Request edit access
Postpartum CARES (Conversations Affirming Reflection and Empowerment within Supportive spaces) Registration form
The Asian Birth Collective (ABC) is hosting a community conversation among Asian identifying families to explore postpartum experiences, challenges and support needs within Asian communities.

Location: shared upon registration
Time: Saturday May 9th, 10am-1pm
There's plenty of free parking at the venue, the space is about a 7 minute walk from the San Leandro BART stop, and the space is wheelchair accessible.

We hope this gathering will build bridges within our community to normalize and acknowledge the unique societal and cultural challenges that shape the postpartum period across the Asian diaspora. The gathering will feature group dialogue, diasporic foods, and grounding practices. Childcare will be provided.

The event is planned for May 9th from 10am-1pm in the East Bay, with lunch included. You are invited to attend if you are within 3 years postpartum and if you identify as Asian/part of the Asian diaspora. If you're interested in attending, please fill out the form below so we can follow up with more details and a formal invitation.  If you have any more questions, please contact ABC at hello@asianbirthcollective.com
Sign in to Google to save your progress. Learn more
Full name *
Email address *
Phone number *
How old is/are your baby/ babies? How long have you been postpartum? *
Please share your race and ethnicity, along with any other facets of your identity that feel relevant to you. (Share as much or as little as you like.) *
How many children will you be bringing, and what are their ages? (This helps us plan for childcare.)
Do you plan to bring other family members with you? If so, who? (e.g., partner, parent, etc. This helps us plan for space.)
Do you have dietary restrictions?  If so, what are they?
Do you have any other accessibility needs? (e.g mobility/ nursing space/interpretation.)
Do you need support with transportation to the event? 
Is there anything else you'd like us to know?  
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of UC Berkeley.

Does this form look suspicious? Report

Google Forms