Breastfeeding 101: The BasicsApril 15, 2021Online Question Title * 1. First Name (as it appears on your license if applicable) Question Title * 2. Last Name (as it appears on your license if applicable) Question Title * 3. Kansas Nursing License # (if applicable, for RNs, APRNs, LPNs) Question Title * 4. Kansas Dietician License # (if applicable) Question Title * 5. Name on credit card if different than the person registered. Question Title * 6. Email Address Acknowledgements: Question Title * 7. By checking this box, I authorize the Kansas Breastfeeding Coalition to photograph/video myself and/or my child (children) during this event. I hereby acknowledge that these photographs/videos may be used for the purpose of education and the promotion of breastfeeding. This authority specifically includes incorporating these photographs, videos, or replicas thereof in any material, including a website or online course. I acknowledge that these images will not be used for any commercial purpose. Yes No Question Title * 8. I understand that registrations canceled on or before 10 days prior to the event date are refundable but subject to a $10 administrative fee. Registrants canceling less than 10 days prior to the event will not receive a refund. The refund and cancellation policy will not be waived. Yes No REGISTER
