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LLL of Montclair Meeting Sign in
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First Name
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Last Name
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Email Address
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Are you a La Leche League Member?
Yes
No
No, but I am interested in membership
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Is this your first La Leche League meeting?
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No
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How did you hear about La Leche League?
Friend or Family
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Social Media (other than Facebook i.e. Instagram, Twitter, etc)
Internet Search
Health Care Professional (hospital, doctor, lactation consultant, nurse)
Health Department or WIC
Other:
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Are your currently breastfeeding/chestfeeding/human milk feeding or planning to?
Yes
No
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Are you currently expressing or planning to express your milk with a manual or electric breast pump?(occasional or exclusively)
Yes
No
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Are you a support person (not breastfeeding/chestfeeding/human milk feeding)?
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Zip Code
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Are you interested in receiving meeting reminders by email?
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Please enter the email address where you would like to receive meeting reminders.
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