Deptford Breastfeeding Group

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Registration Form

Leaders present: Sue, Maria, Penny

Welcome to the Deptford Breastfeeding Group session and thank you for joining us today!
We collect information on those who attend our meetings so that we can contact you about our future sessions and occasional fund raising events.
We keep the Registers for one year and then destroy them, so we will not keep your contact details for longer than 1 year from the date when you attend you latest meeting unless you ask us to keep your details. Please let us know your consent by marking the relevant boxes and let us know for our statistics how you are feeding your baby, reasons for attending our session, and if this is your first time at our session.

Email *

First Name *

Last Name *

Contact phone

Are you happy for us to contact you by email or/and phone about our future sessions?

Phone

Both

Clear selection

Are you happy for us to contact you by email or/and phone about our future fundraising events?

Phone

Both

Clear selection

How are you feeding your baby

Breastfeeding

Mixed feeding

Formula feeding

Clear selection

What are your reasons for attending today

Is this your first time at the session

Yes

Clear selection

Submit

Clear form

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