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Join Project Milk Mission this April for Minority Health Month workshops! April 12th, 11 AM–2 PM: Breastfeeding Education Workshop April 26th, 11 AM–2 PM: Partner Support Workshop. Both events will be held at the Summit Lake Community Center, 380 W Crosier St., Akron, OH 44311. Attend both workshops or choose the one that fits your needs. Enjoy free food and raffle giveaways at each event!
Name
*
First Name
Last Name
Date of Birth
*
Race/Ethnicity
*
Please Select
White
Black or African American
Hispanic or Latino
Asian
Native Hawaiian or Other Pacific Islander
American Indian or Alaska Native
Other
Unknown
Address
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Gender
*
Status
*
Pregnant
Postpartum
N/A
Due Date
-
Month
-
Day
Year
Date
Are you currently enrolled in Ohio Medicaid?
Yes
No
Pending
If enrolled in Medicaid, please provide your Medicaid ID number (This is a 12 digit number).
Insurance Provider?
Please Select
Buckeye Health Plan
Care Source
Molina Health Care
Paramount Advantage
United Health Care Community Plan
Traditional Medicaid
Other
Non-Applicable
Are you currently receiving any breastfeeding services/support?
*
Yes
No
Select date to attend
*
Please Select
April 12, 2025- (11 a.m.-2 p.m.) Breastfeeding Education Workshop- Summit Lake Community Center, 380 W. Crosier St, Akron, 44311
April 26, 2025- (11 am- 2pm) Supporting Partner Involvement in Breastfeeding workshop. Summit Lake Community Center, 380 W. Crosier St, Akron, 44311
Are you interested in scheduling a lactation consultation?
Please Select
Yes
No
Additional Information (e.g. interpreter needed/language spoken)?
How did you hear about Project Milk Mission?
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