Leader Education Weekend
May 18-19, 2013 Cherry Creek, Colorado
Featuring: Diana West, BA, IBCLC
Please copy this questions into a word document, fill and email this form to email@example.com by April 30th.
DEADELINE EXTENDED TO MAY 3rd
Telephone Number _________________________________________
Please share briefly
1) Why you would like to come to this event?
2) If you could do one thing to encourage a breastfeeding mother, What would you do?
Do you need full or partial scholarship? ___________
If partial, how much are you able to afford? __________
Would you like to come both days? ___ Just Saturday___ Just Sunday____
How did you learn about the event? _________________
Would you be able to help us as a volunteer the day of the event? ___________
Thank you very much!
If you have any questions regarding this application email Iwant2come@llloflakewood.org