I give my consent to Amy Bassett, BA, CLC, IBCLC, RLC and/or Amanda Metcalf, MS, CLC, RMHCI, IBCLC, RLC and/or Stephany Ley, BS, CNA, CLC, IBCLC, RLC and/or Alexis Ryan, CLC, SBD and/or Erin Cooper, CLC to observe me breastfeeding/expressing and/or to examine my breasts during the period of lactation assistance. I give my consent to Amy Bassett, BA, CLC, IBCLC, RLC and/or Amanda Metcalf, MS, CLC, RMHCI, IBCLC, RLC and/or Stephany Ley, BS, CNA, CLC, IBCLC, RLC and/or Alexis Ryan and/or Erin Cooper, CLC to observe my child(ren) while breastfeeding/bottlefeeding and/or to examine my child during the period of lactation assistance.