Little Wildflowers Playdate

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Thank you for RSVP'ing. Your spot will be confirmed once the $5-$15 registration is received!

Name: *

Have you attended before? *

If yes, please feel free to skip all the other questions.

If no, please fill out the questions so this can be a great experience for you and your little!

Little (s) name and age:

Phone Number:

Okay to text reminders?

Yes

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I understand I need to bring a blanket, my baby, myself, and whatever else my baby needs (diapers, milk, etc.)

Yes

No, please text me more info.

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I will send my $5-$15/session via one of these to reserve my spot:

Venmo: @Rhegan-Zavala

Cash App: $rheganderfus

Text me an invoice so I can pay with my debit/credit card

Zelle: rhegan.wildflower@gmail.com

Cash at the playdate

I am unable to donate at this time (no one will be turned away for inability to pay).

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Wildflower Services & Consulting, LLC occasionally uses photos/videos of events on social media or marketing tools. Please select your photo/video preference below: *

I do not want photos/video of myself or my child taken.

I consent for Wildflower Services & Consulting, LLC to take and/or use *NON-IDENTIFYING (NO FACES)* photographs and videos of me, my child, and other family members for medical education purposes and for use in breastfeeding promotional materials. I understand they may be used in publications, posters, presentations, fliers, pamphlets, and social media posts for Wildflower Services & Consulting, LLC. I understand that our names will never be used in connection with the images.

I consent for Wildflower Services & Consulting, LLC to take and/or use photographs and videos of me, my child, and other family members for medical education purposes and for use in breastfeeding promotional materials. I understand they may be used in publications, posters, presentations, fliers, pamphlets, and social media posts for Wildflower Services & Consulting, LLC. I understand that our names will never be used in connection with the images.

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