LLL USA WORLD BREASTFEEDING WEEK CELEBRATION
2011 Online Registration Form - for WBWC & the BIG LATCH ON

There is NO REGISTRATION FEE for participation in the WBW Celebration. Please register for tracking purposes, eligibility for prizes, and/or to receive a site insurance certificate (Insurance available for LLL entities only). You may register online here or use the printable registration form. Already registered but need to post / enter WBWC Event and/or Big Latch On event information? Use our event-only form located here. (Please note - you must have already registered, with the form below).

You will NOT be registered online until you click the REGISTER NOW! button below.

 

Register your LLL Group, LLL Chapter, Other LLL Entities as well as all Non-LLL entities

State:
Choose your registration type
LLL Group LLL Chapter Other LLL non-LLL Entity
Group / Chapter / Other / Non-LLL Entity Name:
IF you are an LLL Chapter:
List of Groups in your LLL Chapter that are participating

(please separate each group with a comma)

Note: Please do not register as an LLL Chapter unless all the proceeds go to an LLL Chapter treasury. If the proceeds are not going to an LLL Chapter treasury, please register each Group separately. If you are registering as an LLL Chapter, please list all the participating Groups in your LLL Chapter.

Contact Person Name
Contact Phone Number
Contact Email Address

WBWC Event Details, Including BIG LATCH ON events
If you know your WBWC Event and/or Big Latch On event details, please enter them now

Is this a Big Latch On Event, an WBWC Event, or both? Big Latch On  WBWC   Both!

If you register and hold a WBWC event, please remember to complete the Accounting/Prize Eligibility/Evaluation form http://www.lllusa.org/wbw/kit.php

Event Name:
Event Description:
(Please limit the description to 30 words or less. It will appear exactly as you enter it, so please proofread!)
Date:
(give day of week: e.g., Saturday Aug. 6)
Time:
Event Location:
Event City:
(or County/Area: e.g. Columbus, Shelby County, Quad Cities)
Event State:
Contact:
(First Name)

(only first names will be posted on the website, to protect your privacy)
Contact Email/Phone:
 

(can also list Web address for additional info, if any)
Would you like to publicize your event and invite others to participate in it?

Public event, please post to the Calendar
Please keep our event Private

   
   

Please download and personalize any and all forms. If you need any assistance, please contact your Area's Area WBW Coordinator (AWC). If you have any additional questions or difficulties, contact the WBW Registrar, pameladunne@msn.com.

Events may be held from May 1 - Sept 30, 2011. Registered Groups may send the insurance request form two weeks prior to the event date if your event site needs a certificate of insurance. Send the form with the request to the insurance company.

To be eligible for prizes, money and paperwork from registered Groups must be postmarked to their AWCs by October 17, 2011. DO NOT send money directly to LLLI.



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