LLL USA WORLD BREASTFEEDING WEEK CELEBRATIONS
2011 Online Registration Form
OTHER LLL UNITS & Non LLL Entities

Please note: This form is for registering other LLL Units or Teams & ALL non-LLL Entities. If you wish to register as an LLL Group or Chapter, please click here

Although there is NO FEE, you must register to be eligible for prizes. You may register online here or mail this information to Pam Dunne, WBW Registrar, 7295 Highland Estates Place, Falls Church, VA 22043 (use one of the printable forms for this purpose). This form is only to be used for individuals or entities that are not affiliated with a La Leche League Group or Chapter. If you are registering a Group or Chapter, please use the Group or Chapter form.

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

State:	- Choose State - Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming
Organization's Name:
Contact Person Name:
Contact Phone Number:
Contact Email Address:

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 LLL units 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. Non-LLL organizations must obtain their own insurance.

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