Tennessee Breastfeeding Symposium 2022

REGISTRATION for the:

Tennessee Breastfeeding Symposium 2022

Focused on Our Future: Building Momentum By Breaking Down the Barriers to Equitble Breastfeeding Support

Monday, June 20th, 2022 and Tuesday, June 21st, 2022

Gaylord Opryland Resort & Convention Center

2800 Opryland Dr, Nashville, TN 37214

Virtual Registration Fee $90, In-Person Registration Fee $125

First Name *

Last Name *

Preferred Pronouns

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Credentials

License Number (If you have more than one to list, please label)

Employment Position *

Employer *

Special Dietary Needs?

Type of Continuing Education Credit

CERPs? (Lactation Education Credits)

Describe your Ethnicity *

Registration: Virtual $75.00 or In-Person $110.00 (Early Bird, Prices increase Friday June 1st, 2022) *

90.00 for Virtual Symposium registration

125.00 for In-Person Symposium registration

Do you want to join the Nashville Breastfeeding Coalition (NBC) ($20) *

Yes, I want Registration Virtual plus NBC Membership

Yes, I want Registration In-Person plus NBC Membership

No, I just want to register for the Symposium Virtual

No, I just want to register for the Symposium In-Person

Would you like to be added to the TN Breastfeeding Coalition EMAIL LIST? *

Would you like to be added to the Nashville Breastfeeding Coalition EMAIL LIST? *

Ideas for Next Symposium?

Special Codes for Volunteer, Scholarship, TN WIC, Public Health, and Group Rate (more than 5)- enter the code here.