Big Latch On Jax 2020
Please fill out this form honestly and completely. Your email address will be used to contact you with important information about the event; we will not use it to contact you with any other information nor provide your email to any third parties.
Email address *
Your Name *
Your Zip Code *
How many children will you be latching for the event? (This includes: direct latching at the breast, using a supplemental nursing system or nipple shield, expressing milk by hand or pump, and feeding your child breastmilk via an alternative method) *
Please initial that you have read and agree to the following: In consideration of being permitted to participate in a Global Big Latch On, I hereby for myself, my heirs, and personal representatives assume any and all risks, which might be associated with the event. I further waive, release, discharge, and covenant not to sue Global Big Latch On, its officers, employees, sponsors, organizers, volunteers, or other representatives, or their successors and assigns, for any and all injuries or damages of any kind whatsoever suffered as a result of taking part in the event and any related activities. *
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