First Name

Last Initial

Your email

Which best describes you?
Pregnant/Expecting a new baby/babiesParent to a newborn (0-6 months)Parent to a baby 6 months+None of the above

I would be interested in more information about the following free services: (check all that apply- you will ONLY receive information about the services that you select, and your email address will not be used for any other purpose)
Me Breastfeed Prenatal Class1:1 Peer SupportLatch & Learn/Beyond Basics Virtual SessionsLocal MeetupsVolunteering as a Buddynone of these
By checking this box, you are giving permission for the Breastfeeding Buddies Program to receive this form via email and use your email address to communicate with you. While all precautions are taken to ensure security and privacy, email can be vulnerable to misuse. Please do not include any confidential health information on the form.

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