Breastfeeding Family Friendly Communities of Durham:  Community Award
We greatly appreciate your interest in the Breastfeeding Family Friendly Communities (BFFC) of Durham:  Community Award Designation.  
Who is eligible: All community based organizations and nonprofits such as, state agencies, local agencies, (inter)national organizations working locally, faith-based communities, local non-profit organizations, and others are welcome to complete this form.  We also would like to hear your perspective as we work towards a safe and supportive community for all families and hope that you will complete that question at the end of the form.

Thank you in advance for taking the time to answer the following questions!
Email *
Your name
Organization Name *
Organization URL
Phone number
Address
Affirmations of support:
Please list a few things that you feel like your organization does really well to support breastfeeding families in Durham?
We would like to add you to our mailing list. There are a couple of options: *
Required
Is there anyone else in your organization who you would like to have added to our mailing list?
How can we thank you...
Would you like to schedule a time for a team member to meet with you for any reason?
Do you have any further questions?
If you have questions, please email Durham@breastfeedingcommunities.org or call 919-622-8787.  
Thank you for supporting families in Durham!
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy