Community Baby Shower Interest Form

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Please Read Eligibility Requirements before completing this form. Live within 30 MILES of Newberry. Pregnancy confirmation is required showing mothers name, date of test/ultrasound and estimated due date. Expectant mothers must be currently pregnant and due on or after the Shower date of April 27th. If you do not meet these requirments for the Shower, no worries, please call our office for other ways we can assist you and your new baby. 803.276.4172

First Name *

Last Name *

Phone Number *

Email *

Address *

Due Date *

Pregnancy Verified *

You will be asked to bring your pregnancy verification with you to your Registration. Please note the accepted forms are: Medical Record, Ultrasound with the mothers name, date of test/ultrasound and estimated due date. If you have not yet had an ultrasound, you can get a Free Pregnancy Test at LIFEBRIDGE. If you are due before this date please call us for other options. 803.276.4172

I am having a: *

Option 1

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Thank you for your interest in the Community Baby Shower. We will reach out to you in the next week. If you are eligible, we will set up your Registration Appointment at LIFEBRIDGE. This gives us the opportunity to meet you, show you around The Nesting Place at LIFEBRIDGE, and answer any questions.

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