Registration for Live, Love, Latch!® Event

Please share the city, town, or county you serve here.

Email*
LLL Group(s) or Leader(s) Hosting Event*

This event must be hosted or co-hosted by an accredited La Leche League Leader with a primary connection to an LLL USA affiliated Area/Area Network. The Leader does not need to be affiliated with a Group.
Leader to Contact*

In case the Live, Love, Latch!® Committee has questions about your event
Leader Phone Number*
e.g. 123-456-7890
Leader Email If different from above
Event Title*

e.g. "ABC County Live, Love, Latch!®", "Annual Breastfeeding Potluck", etc (Note: while it does not need to be in the event title, you must include Live, Love, Latch!® in advertising materials)
Date of Event*
MM slash DD slash YYYY
Time of Event*

: Hours

Minutes

AM/PM
Platform
Please include how the event will take place (e.g., Zoom, Facebook)
Address of Event*
Street Address City State ZIP Code

Must include city, state, and zip code, but if no exact street address, please enter "NA" or "0"
Event Description*
List any fun facts about your event (e.g., guest speakers, giveaways, raffles) or information you want attendees to know.
Website URL

please make sure to indicate: https://
Facebook Page

please make sure to indicate: https://www.facebook.com/yourpagename
Consent
I agree to the privacy policy.
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Name
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