Breastfeeding Basics Workshop
Date TBA
Sign in to Google to save your progress. Learn more
Email *
Birthing parent's name *
First and last
Your email address. *
we will contact you to confirm registration & provide class details.
Partner/Support person *
first and last name and relationship
When is your "due date"
What do you hope to get out of this class?
How did you find out about this class? *
Would you be interested in hear more about our comprehensive prenatal breastfeeding class as well? *
Can we add you to our Newsletter list? *
We do not rent or sell your private information
Payment Information
This is a "pay what you want" event. At Lactopia Lactation Services we believe in balancing excellent, affordable services with universal accessibility, which is why we offer exclusive pay what you want pricing for some of our workshops and consultations. We would like to remove barriers to breastfeeding support and recognize that some folks are in a position to offset the cost for those on a tighter budget.
So how does this work? We ask that you pay a small fee ($10) to ensure your commitment and hold your space at the workshop when you register.
Participate in the event, ready to learn and have fun.
After the workshop, you get to decide on your investment. To give you an idea, a class of this kind typically costs $65 or more. You can pay at the event by cash, cheque, paypal or email money transfer, and you decide what the education is worth. This allows breastfeeding and chestfeeding education and support to be truly available to all people. If you have any questions, please contact us at
A copy of your responses will be emailed to the address you provided.
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy