The B.L.A.C.K. Course Registration Inquiry Form
We are collecting information from interested parties who would like to take the course or host the course.

The B.L.A.C.K. Course is a full scope lactation and breastfeeding education course made by and for Black People and folks supporting Black breastfeeding. This course is designed to be a prep course for Aspiring IBCLC’s and Breastfeeding counselors.

The B.L.A.C.K COURSE
(B)reastfeeding
(L)actation
(A)ccommodation
(C)ulture
(K)inship
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Email *
Are you interested in hosting or taking the course? *
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First Name *
Last Name *
Address *
Phone number
Current Lactation Certifications
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Attendees: do you need this course for IBCLE requirements?
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Attendees: when do you plan to take the IBCLC exam?
Attendees: would you qualify for scholarship opportunities based on income?
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Name of the organization or agency interested in hosting
Will the hosting organization/agency be collaborating with other entities? If so, please list the names below.
How many attendees do you plan to host?
Do you have a venue to host The B.L.A.C.K. Course?
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