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Babywearing Registration Form

Class Date: Saturday, July 25th

Time: 10 am- 1 pm

Location: First Baptist Church, 9 E Bacon St., Hillsdale, MI

1. Full Name:

2. Phone Number:

3. Email Address:

4. Are you participating in the WIC program currently?
Please Note: You do NOT have to be a WIC participant to attend.

5. Are you planning to stay for lunch? If so, do you have any dietary restrictions, or would you prefer a vegetarian or vegan option?

Please enter an 'other' value for this selection.

6. Will you need a baby carrier, or will you bring your own?
Please note: Only one carrier is allowed per family.

I need a baby carrier
I will bring my own

7. What is your experience level with babywearing?

Never tried it
Tried once or twice, but struggled
Comfortable with one type of carrier
Experienced

8. What are you most interested in learning?

Safety basics
How to use a specific carrier (Stretchy wrap, SSC, Ring sling, etc.)
Back carrying
Comfort and proper positioning

9. Do you or your baby have any physical considerations we should be aware of? (e.g., back pain, hip dysplasia, recent surgery)

10. Photo Release: I grant permission to use photos taken during the class for promotional or social media purposes.

11. Liability Waiver: I understand that babywearing involves certain risks. I agree to follow all safety instructions provided and assume full responsibility for the safety of myself and my child during the class.

Clear

Sign name using mouse or touch pad

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