Liquid Gold Award 2019 Nomination Form
Nominate your physician for the Breastfeeding Coalition's Annual Liquid Gold Award! In observance of World Breastfeeding Week, the annual Liquid Gold Awards are given to businesses, not-for-profit organizations, licensed childcare providers, individuals, and physicians located within Ventura County in recognition of outstanding promotion,
advocacy and support of breastfeeding. The awards are presented during a Board Of Supervisors Meeting, with the goal of bringing breastfeeding awareness and advocacy to the community and our County’s policy makers.
Submissions will be accepted until July 1st, 2019. All physicians nominated will receive a certificate of acknowledgement and listed on our website!
Name of Physician Nominated *
Your answer
Your name *
Your answer
Your contact phone number or email *
Your answer
Physician address or name of the office/clinic *
Your answer
Physician or office phone number
Your answer
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