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Online ParentCraft Class 2022
Welcome to the class! Please register to join our Online Parentcraft sessions.
After submitting this form please do request our Facebook Group @
https://www.facebook.com/groups/onlineparentcraftclass/
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* Indicates required question
What is the Current Month you join Our Online Parentcraft Class?
*
Choose
July
August
September
October
November
December
January 2022
February 2022
March 2022
April 2022
May 2022
June 2022
July 2022
August 2022
September 2022
October 2022
November 2022
December 2022
Do you currently use any formulated milk powder?
*
Choose
a2 Nutrition for Mothers
Anmum Lacta
Anmum Materna
Aptamom
Bellamy’s Organic Pregnancy Formula
Dumex Mamil® Mama
Enfamama A+
Fresh Goat Milk
Fresh Milk
Frisomum Gold
MOMMA Evermom Non-GMO Soy
MOMMA Pregolact
Natrel Milk
NatureOne Dairy Pregnancy Formula
Nestlé MOM
Similac Mom
Snow Maternity
Susu Efferty Ikhtiar Hamil
WILDAN Mama Premium
Wyeth Promama
Others
Not consuming any milk
Are you interested to receive other free gifts/samples from brands below? If yes, please select:
*
Anmum Materna
Enfamama A+
Required
What is your date of birth?
*
MM
/
DD
/
YYYY
Are you working right now?
*
Yes
No
References Number
*
Your answer
Mother's Name
*
Your answer
Father's Name
*
Your answer
Detailed Address (For Delivery Parentcraft Kit Purpose)
*
Your answer
Email address
*
Your answer
Facebook Profile Link / Name (For Recognizing Purpose Only)
*
Your answer
Phone Number
*
Your answer
Expected Due Date
*
MM
/
DD
/
YYYY
I will deliver my baby at (Hospital/Clinic Name & Location)
*
Your answer
Motherhood Privacy & Personal Data Protection Notice
By submitting this registration form, you have agreed and consented to Motherhood privacy policy and the use of your personal data for follow-up actions related to the event and to receive promotional materials. For more information :
https://www.motherhood.com.my/page/privacy-policy
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