Annual Breastfeeding Friendly Awards

Say THANK YOU to a PLACE OR PERSON who has offered you valuable support and accommodation of breastfeeding mothers at the Annual Breastfeeding Friendly Awards.

 Please complete this form and submit your nomination before July 25th.
Awards will be given out Thursday, August 3rd, at noon, at Wisner Park in Elmira.

* 1. Please provide YOUR contact information in case we have a question about your nomination:

* 2. I would like to nominate: (please provide as much information as possible about the person or place you would like to nominate)

* 3. This work place / school / person provides: (please check all that apply)

* 4. This public place provides:

* 5. How did you hear about the Breastfeeding Friendly Awards? (please check all that apply):