Womb to Walking Door Prize Please fill out the following information in order to be entered in the draw for a Kindness Cup! First Name Last Initial Your email Which best describes you? Pregnant/Expecting a new baby/babiesParent to a newborn (0-6 months)Parent to a baby 6 months+None of the above What is your due date? When was your baby born? I would be interested in more information about the following free services: (check all that apply) Me Breastfeed Prenatal Class1:1 Peer SupportLatch & Learn/Beyond Basics Virtual SessionsCraving Connection local meetupsVolunteering as a Buddynone of these By checking this box, you are giving permission for the Breastfeeding Buddies Program to receive this form via email and use your email address to communicate with you. While all precautions are taken to ensure security and privacy, email can be vulnerable to misuse. Please do not include any confidential health information on the form.