Breastfeeding Friendly Child Care Application
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Program Name *
Program Type *
Director or Owner Name *
Program Address *
County *
Program Email *
License Number *
Number of Children Enrolled (0 - 2 years) *
Number of Children Enrolled (3 - 4 years) *
Number of Children Enrolled (5 and older) *
Have you received recognition from a county agency? *
If yes, which county?
If you have not received recognition, would you like support from a Breastfeeding Friendly Advisor? *
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