New York Breastfeeding Awareness Day 2024 Registration

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We are so excited that you showed interest in participating in the 2nd Breastfeeding Awareness Day in the Empire State. Date: August 10, 2024 at 11 am. Location : Queens, NY

Email *

Name *

Phone number *

What New York Region do you currently live? (ie, NYC, Long Island, CT, Hudson Valley, NJ, etc...) New York Regions *

Bronx- NYC

Brooklyn- NYC

Manhattan-NYC

Queens-NYC

Staten Island-NYC

Capital Region

Central NY

Finger Lakes

Long Island - Nassau

Long Island - Suffolk

Mid-Hudson

Mohawk Valley

North Country

Southern Tier

Western NY

Connecticut

New Jersey

Outside of Tri-state region (NY,NJ,CT)

Number of Adult Tickets *

Number of Kid Tickets *

Waivers

Do you agree to the Participation Waiver In consideration of being permitted to participate in NBADNY I hereby for myself, my heirs, and personal representatives assume any and all risks, which might be associated with the event. I further waive and do not hold Supporting Our Mothers Initiative liable for any risk incurred during the duration of the event.

Do you agree to the Photo Consent (I authorize use of image(s) and statements of myself, attendees with me and my child/children, for use in newsletters, posters, internet & other advertising to promote breastfeeding & the NBADNY.)

I consent

Ticket Type *

General Admission - Adult

General Admission - Kid

Breastfeeding Photoshoot

Pregnancy Parade

Entertainment Presentation

Vendor/ Tabling

Volunteer

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