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NYLCA Group Information Form
Please complete 1 form for each separate group you have. If you are not currently a NYLCA member, you may join or renew here:
http://join-or-renew
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* Indicates required question
Email
*
Your email
Is this a new group or an update to a group that's already listed?
new
update
Clear selection
Please send a picture or graphic to accompany your group to
admin@nylca.org
. You must have permission to use this photo. Please type "got it" to agree.
Your answer
What is your name?
Your answer
Are you an IBCLC?
Yes
No
Clear selection
What is the name of your group?
Your answer
Please write a brief description (1-3 sentences) telling visitors why your group is awesome.
Your answer
What type of group is it?
Prenatal
Type A -- Peer to Peer Support Group
Type B -- Latch Clinic
Type C -- Comprehensive Clinic
Clear selection
Does your group have a scale?
Yes
No
Clear selection
What neighborhood is your group located in?
Your answer
What is the address for your group? (If your group address is not public, please write "contact for address")
Your answer
Please tells us exact dates and times for your groups. If your group is recurring, you can indicate by saying "First Thursdays, 11:30" (for example). You can give us dates as far out as you like.
Your answer
What is the fee for your group?
Your answer
Is registration required?
Yes
No
Clear selection
If registration is required, please provide contact info or link to register.
Your answer
Please provide the names and credential of anyone else who leads your group with you.
Your answer
Would you like limited access to update your own group listings?
Yes
No
Maybe
Clear selection
Submit
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