Member Registration and Waiver to Participate in Breastfeeding Meet Up Virtual Group Tuesday 10am to 11:30am

Membership Type *
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Terms and Conditions

Premium Membership $30.00 per month for three or four sessions per month.
1. Sign consent

Premium Membership is for the beginning of one month to another.

PRECIOUS JEWELS MOMS MINISTRIES
INFO@PRECIOUSJEWELSMOMSMINISTRIES

Waiver to Participate in Breastfeeding Meet Up Virtual or In Person
Groups

Precious Jewels Moms Ministries is pleased to offer Breastfeeding Meet-Ups to
mothers with their babies/children who are nursing for the purpose of peer support and faith based community outreach under the umbrella of Precious Jewels Nursing Mothers Club (tm). 

Precious Jewels Nursing Mothers Club (tm) is facilitated by a International Board Certified Lactation Consultant who is an Ordained Minister.

The group is not intended for treating clients in a state of medical emergency, or in need of medical advice. 

If you are concerned about your child's health, please consult a physician. We
are happy to help families in partnership with their family care providers to promote healthy moms and babies.

The group is also not intended to address clinical issues mothers and babies
may be having. This group is for informational purposes only. Some issues may require scheduling a Lactation Consultation to do an examination and develop an individualized care plan.

I give my consent for the lactation consultant to work with me and my baby during this brief group consultation to verbally answer my breastfeeding concerns or questions. 


This is a faith based breastfeeding support group that shares Christian principles of mothering through breastfeeding. Therefore, I will be offered or can inquire for optional prayer, baby blessing and other religious sacraments at the conclusion of the breastfeeding group service.

By signing below, you acknowledge that you have read this waiver and understand the following:

Precious Jewels Moms Ministries, Precious Jewels Nursing Mothers Club virtual or in-person Meet-Ups are for mothers in the community to discuss their breastfeeding journey and to provide and receive support and reliable information regarding breastfeeding.

This group is open to mothers who nurse or provide breast milk to their
babies/children, in any amount, in any way they choose.

This group is open to mothers of all faith and beliefs with an understanding biblical chrsitian princples of breastfeeding and mothering will be shared.

Participants will listen respectfully and non-judgmentally to concerns and provide support in a compassionate way.

Participants in the group are not attending as licensed or certified professionals, but as breastfeeding mothers or persons.

I understand there may be students and other volunteers present.

I give my consent for the Lactation Consultant to use clinical information during our group session for education of other health care providers and mothers about lactation. I will not be identified in anyway, but aspects of my situation may be described and discussed.

You are not obligated to follow any suggestions or implied
advice that is shared in this group.

You consent to receive communications from us electronically. We will communicate with you by e-mail or phone. You agree that all agreements, notices, disclosures and other communications that we provide to you electronically satisfy any legal requirement that such communications be in writing.

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