Maternal Child Health Community Baby Shower & Focus Group Registration
Limited spots available. Preference will be given to the first 20 registrants for each 'event', you will receive confirmation of your registration. For all events, check in will start at 5pm, and the event will be held from 5:30-7:30pm. ***Our Lynchburg Event & waiting list have reached capacity. We are now only accepting registrations for Amherst, Appomattox, Bedford & Campbell counties.***
What you get for attending our FREE event:
*FREE drawing for either a HelloBaby Monitor, Frida Baby 4 in 1 Grow-with-Me Bathtub, MOMCOZY S12 Pro Wearable Breastpump, Stroller, or 5 in 1 XL Large Baby Gym and Ball Pit. Each participant will receive a catered Chick-Fil-A dinner (children included), travel reimbursement in the form of a Sheetz or Uber gift card, free childcare onsite for children 2+ (children under 2 are welcome, but we ask that they stay with you during the event), freebies, and a $50 PAID onsite focus group opportunity.
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Zip Code
Are you pregnant or postpartum up to 2 years?
Currently Pregnant
Postpartum
I am currently pregnant and postpartum up to 2 years.
Please identify what event you would like to participate in. (This selection should coordinate with the county YOU reside in).
Appomattox County: Monday August 5th, 2024- Appomattox Inn and Suites (447 Old Courthouse Rd, Appomattox, VA 24522)
Bedford County: Monday July 15th, 2024- The Outpost (402 E Main Street, Bedford, VA 24523)
Campbell County: Monday July 22nd, 2024- UPDATED LOCATION: RUSTBURG RURITAN CLUBÂ 200 Colonial Hwy, Rustburg, VA 24588
If you are planning to utilize our free onsite childcare, please indicate how many children will be attending. (Ages 2+)
Please notate the number of children that you require childcare for day of including ages and any dietary/allergy information of the child. EX- Sally age 3, no dietary restrictions. Noah, age 2, dairy free.
I would like to participate in the focus group opportunity onsite for either $50 Amazon or $50 Target Gift Card compensation.
Yes
No
Ask me again day of
I would like to enter a FREE drawing for either a HelloBaby Monitor, Frida Baby 4 in 1 Grow-with-Me Bathtub, MOMCOZY S12 Pro Wearable Breastpump, Graco Pack & Play, or 5 in 1 XL Large Baby Gym and Ball Pit.
Yes
No
Additional questions, comments, concerns:
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