La Leche League East Lansing
Virtual Meeting Group Application

This form serves as an application to join the La Leche League East Lansing Virtual Meeting Space Facebook Group.
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Full Name *
Mailing Address
City, State, Zip Code
Are you currently a supporting member of the East Lansing LLL group? *
Email Address Associated with Facebook *
We will need this email address in order to add you to the group.
Primary Email Address
Phone Number
Are you currently.... *
Have you attended an in-person LLL meeting? *
How did you learn of our Facebook group? *
Please tell us a bit more about you and your family
(you can tell us about your child(ren) and their age(s), breastfeeding experience, interests, anything you'd like to share)
Please check ALL boxes below to confirm that you understand and agree with each statement before you can be approved for the online group. *
Anything else you would like to share or ask at this time.
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