The BreastFriend Hour Registration Form

Our breastfeeding support group is led by our lactation consultant for moms & their infants up to a year old.

This event is held in person at our office located at Kapiolani Medical Center, Diamond Head Tower, 3rd floor.

The BreastFriend Hour will be held from 11:00 am -12:00 pm. 

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Email *
Mom's name *
Baby's name *
Baby's date of birth *
MM
/
DD
/
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Phone number *
Zip code *
We would like to attend on the following date(s): *
Required
A copy of your responses will be emailed to the address you provided.
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