Lactation Basics Class Registration
[Name you want on Certificate]
Street Address Line 2
State / Province
Postal / Zip Code
Best for you to be reached
Doula Workshop Completion Date
month day year
If already practicing, how long and type of practice (hospital, community, private)
Any Children? Describe their ages, length of time each was breastfed, and share a bit about your experiences?
List any books from your Doula organization BREASTFEEDING List you have read.
List any specific breastfeeding topics on which you would like more information.
Special Needs? vision, hearing, allergies, mobility, other.
Choose Your Class - 2021 Schedule
JUL 10, 2021 - 1:30 pm - 05:00 pm
SEP 18, 2021 - 9:00 am - 12:30 pm
NOV 13, 2021 - 1:30 pm - 05:00 pm
9:30 am to 12:00 noon Saturdays
Paying by Cash - Check - PayPal - Square - Other?
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