Baby Lounge RSVP & Check-In

1

RSVP-ing or checking in?* This field is required.

RSVP: I'm coming to a future Baby Lounge.

CHECK IN: I'm here, now, at Baby Lounge.

2

Select a date and time:* This field is required.

3

Location* This field is required.

Northwest Mothers Milk Bank: 15875 SW 74th Ave, Tigard, OR 97224

4

Check-In Date* This field is required.That's today!

5

Your Name* This field is required.

First Name

Last Name

6

Email* This field is required.

example@example.com

7

Phone Number* This field is required.

Please enter a valid phone number.

8

Add a guest?* This field is required.Partner, co-parent, grandparent, friend, etc.

Yes

No

9

Guest's Name

First Name

Last Name

10

Child's NameOptional — we just want to say hi!

11

Child's Date of Birth* This field is required.That fateful day...

12

Add a second child?* This field is required.Big sibling (under 18 months), twins, etc.

Yes

No

13

Child 2's NameOptional — we just want to say hi!

14

Child 2's Date of Birth* This field is required.That fateful day...

15

Add a third child?Big sibling (under 18 months), twins, etc.

Yes

No

16

Child 3's NameOptional — we just want to say hi!

17

Child 3's Date of Birth* This field is required.That fateful day...

18

Have we met before?* This field is required.

Not yet — hello!

I donated milk to NWMMB.

I received donor milk from NWMMB.

I've been to Baby Lounge and I'm back for more!

Other

20

Do you have questions for a lactation consultant (IBCLC)? Is there a topic you'd like to explore with the group?Don't be shy!