Family Event Registration Form

Community Baby Shower

The Shades of Blue Project and Sigma Gamma Rho are hosting a community baby shower to support women and birthing people of color, addressing maternal and mental health disparities. This event offers educational workshops, inspirational talks, and donations of essentials, fostering a community of support and advocating for equitable maternal healthcare. *** Please read each question carefully***
***ALL GUEST MUST CURRENTLY BE A CLIENT*** If you are not currently a client you must complete the application form by clicking here before completing this registration https://bit.ly/ApplicationforServices
Guests, please note: Small children are not permitted at the event as we are not offering childcare at this time. However, you're welcome to bring your newborn, as our capacity is limited. Thank you for understanding.
Are you a current client with The Shades of Blue Project?*

YesNo ( you must complete a application via the link above first)
Attendees, please be aware that this event is exclusively for those who are 1-6 months postpartum. This ensures the resources and discussions are most relevant to your current stage. We appreciate your cooperation and understanding.
What is your Child's date of birth?*

MonthDayYear
Date
What size diapers does your child wear?*
What size clothes does your child currently wear? *
What sex is your child?*

FemaleMale
Does your child currently have any allergies? If yes please let us know this information in regards to diapers and wipes. *
Did you have NICU baby?*

YesNo
Are you currently breastfeeding? If yes are you in need of supplies?*

YesNoYes I need suppliesNo I don't need supplies
Name*

First NameLast Name
Email
example@example.com
Phone*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What hospital location did you deliver your baby at?*
When was your last postpartum visit?*
What additional resources are you in need of? (clothes,household items etc.)*
Please select which Baby shower event you would like to attend? Please note that we ask that you choose two dates in case one date reaches its capacity.

June 8October 12December 14
Do you have any food allergies? If yes, please us know below.*
We look forward to having you attend our community Baby Shower!!
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Community Baby Shower

We look forward to having you attend our community Baby Shower!!