Black Breastfeeding Week 2018 Event Registration
NOTE: #BBW18 is underway and new events added to this sheet *may not* be added to the website, but will still be promoted as possible.
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Organization/Group name *
Co-sponsoring and Supporting Organizations/Groups
Main Contact First name *
Main Contact Last name *
Phone number *
Email address *
Event Name/Title *
Event Date *
Event Time *
Street address (for the actual event) *
City (event) *
State (event) *
Zip Code (event) *
List activities
Also include how you plan to show honor to our babies who have gone home too soon? (Infant mortality)
How many pregnant and breastfeeding mothers are you expecting?
How many total people are you expecting including the pregnant and breastfeeding mothers?
Mailing street address *
City (for mailing) *
State (for mailing) *
Zip Code (for mailing) *
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