Let's Talk...About Breastfeeding
Saturday, August 23
10AM-12PM

This event will be held to celebrate Breastfeeding Awareness Month and promote breastfeeding. The objectives are to:

1. Provide education and support to pregnant women and new moms interested in breastfeeding;
2. Normalize breastfeeding and empower women to make informed decisions regarding the health of their baby;
3. Provide accurate information about the risks of not breastfeeding; and
4. Link women to support services and resources designed to promote exclusive breastfeeding for at least 6 months.

*We encourage mothers to bring their infants and children to this event.

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* 1. Contact Information

First and Last Name:

Address:

City/Town:

ZIP:

Email Address:

Cell Number:

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* 2. Are you currently pregnant?

Yes

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* 3. Race/Ethnicity

African American

Latino

Native American

White

Other

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* 4. What is your preferred language?

English

Spanish

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* 5. Age

Under 18

18-24

25-29

30-34

35-39

40-44

44+

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* 6. How many infants will you bring with you (under the age of 1)

More than 3

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* 7. How many children will you bring with you?

More than 3

Please write the age(s) of your children attending

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* 8. Are you registering as a Table Facilitator?

Yes

Mosaic Templars Cultural Center Address: 501 West Ninth Street, Little Rock, AR 72201
For more information, please contact Cicely Jackson at Cicely.Jackson@arkansas.gov or 501-661-2282.