Chester Community Baby Shower Registration Form

Chester Community Baby Shower Registration Form

The Chester Community Baby Shower is a free event designed to support expecting and new mothers in Chester, SC, by providing resources, education, and essential baby items. The last day to register is September 5, 2025. Date: Saturday September 13th, 2025 Time: 11:00am- 12:30pm Location: 564 Old York Rd, Chester, SC 29706
Attendee Information

Please fill name and contact information of attendees.
Your Name*

PrefixFirst NameLast Name
Email Address*
example@example.com
Contact Number*
Please enter a valid phone number.
Age*

Under 1818-2425-3435-4445 and Up
Ethnicity*

African American/BlackCaucasian/WhiteHispanic/LatinoAsian/Pacific IslanderNative AmericanOther
What County Do you Live In?*
Please List your Zipcode*
Number of Children*

12-33-55 or MoreOther
Current prenatal status*

PregnantRecently gave birth (within the last 6 months)Parenting a child under 2 years old.
Do you currently have a doula or a birth support person?*

YesNo
Are you interested in receiving information about:(Select all that apply)*

Doula ServicesBreastfeeding/ Lactation SupportPostpartum SupportMental Health ResourcesMedicaid/ Insurance NavigationChildbirth Education Classes
Would you like to be updated about the upcoming events?*

YesNo
Is there anything else you would like us to know to best support you?*
Consent*

I consent to receive event updates and resources related to maternal and infant health.I consent to having event photos/videos taken during the event (for promotional use).I do not consent to the above.
Should be Empty:

Chester Community Baby Shower Registration Form

Attendee Information