North Star Birthing Services' Community Baby Shower Registration

North Star Birthing Services' Community Baby Shower Registration

A FREE event to celebrate new and expecting parents in Lansing, MI and provide essential items and resources for their birth. All expecting or postpartum parents attending must complete this registration.
Do you understand that this registration is for WAIT LIST only and you will be contacted if more availability to attend the community baby shower opens up?*

YesNo
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth

MonthDayYear
Date
Have you previously attended this Community Baby Shower?*

YesNoUnsure
Do you live in Lansing, MI or Ingham county?*

YesNo
Estimated Due Date or Date of Birth of Child*

MonthDayYear
Date
Race/Ethnicity*

Arab American/MENAAsian AmericanBlack/African AmericanHispanic, Latin(a/o), LatinxNative AmericanPacific IslanderWhiteOther
Number of guests *
Are you in need of transportation assistance to event?*

YesNo
What concerns do you/did you have around your birth?*

Health/safety of myselfHealth/safety of babyChildcareFinancial StabilityPartner/Family SupportAccess to supportive healthcare providerAccess to a doulaHousingTransportationOther
Do you know what a doula is?*

YesNo
What items are you in need of for your pregnancy/postpartum for baby? (Please select top 4 items)*

Baby WrapBaby MonitorLaundry DetergentFirst Aid Family KitNursing/Breastfeeding ItemsBottlesInfant Bathing ItemsPostpartum Essentials PackBaby ThermometerInfant Care KitCar SeatOther
What services would you be interested in learning more about?*

Doula supportChildbirth EducationLactation suppportPelvic Floor TherapyPrenatal/Postnatal MassagesNutrition SupportContraceptive OptionsMental Health SupportFinancial CounselingInfant MassageChildcare optionsHousing AssistanceOther
Sex of Baby

MaleFemaleUnknown/Prefer not to disclose
What is YOUR clothing size?
Will you need access to a lactation room?

YesNo
Do you have any dietary restrictions or accommodations needed?
Should be Empty: