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Pike County Safe Sleep Champion Training Completion and Registry

Pike County Health Department Safe Sleep Champion Program

Safe Sleep Registry organized and maintained by Kim Gamm RN BSN CDCES - Public Health Coordinator/Maternal Child Health Coordinator
Pike County Health Department
1 Health Care Place
Bowling Green, MO 63334
1.Name and Organization(Required.)
2.Please choose your occupation or how you work with families:(Required.)
3.Email Address(Required.)
4.Phone Number(Required.)
5.Are you willing to be a Pike County Safe Sleep Champion to advocate and educate on safe sleep practices?(Required.)
6.Have you completed the Cribs for Kids Safe Sleep Ambassador Training program and obtained a certificate?(Required.)
7.Do you agree to provide education and/or guidance on safe sleep practices to at least 1 other person?(Required.)
8.Do you agree to be placed on the Pike County Safe Sleep Champion Registry maintained by the Pike County Health Department?(Required.)
9.Can PCHD contact you for a photo to highlight you as a Pike County Safe Sleep Champion?(Required.)
10.Would you like additional information on how to promote safe sleep practices within our community?(Required.)