Door Decorating Contest Entry Form
Decorate any public space (door, window, bulletin board, etc.) and display it from August 1-7, 2017 (or longer!) with a message that promotes or supports breastfeeding. After completing this form by the July 28th deadline, please submit photos of your display to jamee.thumm@healthystartsarasota.org.

This year's theme is: Sustaining Breastfeeding Together
*Please note that your entry does NOT need to follow the theme, but you are welcome to.*
Winners will be announced on August 10th. Please contact Jamee Thumm for questions 941-373-7070 ext 307 or jamee.thumm@healthystartsarasota.org.

Business/Organization Name:
Your answer
Contact Person Name:
Your answer
Contact Person Email:
Your answer
Contact Person Phone:
Your answer
Address:
Your answer
Fax:
Your answer
What is the general breastfeeding message that you are planning?
Your answer
Comments:
Your answer
It is understood by submitting this form that your business's name and any photos sent to us for the purpose of this contest may be shared on our website, flyers, and/or social media for this and future World Breastfeeding Week activities.
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