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First Name
Last Name
LLL Conference Co-Registrant
*** For the purposes of conference registration a caregiver is considered a person who is either the partner/spouse of the primary registrant or someone whose intent at the conference is to care for the registrant’s child(ren)
Early Bird Hotel Code
(must be entered by September 6th for discount to apply) Your Hilton Hotel confirmation code is 10 numbers in length and begins with "33".
Title
Address
City
State
Zip Code
Phone Number
LLL Group Affiliation (if any)
Email Address (required)
*
LLL Parenting Conference Conference Information: Check all that apply
LLL Member
LLL Leader
Leader Applicant
Renew Membership Now ($40)!
LLL Retired
Area Council
Healthcare Provider
WIC
IBCLC
Speaker
What if any disabilities do you have that may require accommodation to fully participate
Check here if you would like to request a stroller permit. Due to safety precautions, no strollers will be allowed in the conference area unless a mother is bringing twins, or she or her child is in some way physically challenged. Stroller permits will be issued under those circumstances only.
"Friends of LLL"
Donations of $5.00 or more to LLL or FL/ESI. List message (25 words or less) as you would like it to appear in the Program Booklet. Must be postmarked by September 20th.
Number of Friends
"Children of LLL"
$1.00 per name. List first and last names as as you would like them to appear in the Program Booklet. Must be postmarked by September 20th.
Number of Names
Name of other Child Care Provider (for badge):
Children-Names and ages (if attending):
Names and Ages of Teen Crew Volunteers
Be a part of the fun! Sign up for areas you or your registrants can volunteer to help. We need you! Sign up for areas you or your registrants can volunteer to help and receive ten free raffle tickets.
Set-Up
Family Room
Registrations
Children's Activities
The MaLLL
Teen Crew
Clean Up
Anywhere Needed
Primary Registrant
Extra Session
CSE Session ($30 fee for members, $30 refundable fee for leaders and leader applicants and $60 for non-members)
Certificate for CERP sessions ($35 fee)
Session 1
1st Choice
Please Select
101 - CERP WHAT'S IN YOUR BAGGAGE? HELPING WITHOUT HINDERING
102 - HOMEOPATHY IN CHILDREN
103 - PARENTING AND INTIMACY
104 - PREGNANCY AND BEYOND: NUTRITION FOR MOMS
105 - INFANT MASSAGE: COMMUNICATING THROUGH TOUCH
106 - PLAY 101: IT’S NOT ALL FUN AND GAMES ANYMORE
2nd Choice
Please Select
101 - CERP WHAT'S IN YOUR BAGGAGE? HELPING WITHOUT HINDERING
102 - HOMEOPATHY IN CHILDREN
103 - PARENTING AND INTIMACY
104 - PREGNANCY AND BEYOND: NUTRITION FOR MOMS
105 - INFANT MASSAGE: COMMUNICATING THROUGH TOUCH
106 - PLAY 101: IT’S NOT ALL FUN AND GAMES ANYMORE
3rd Choice
Please Select
101 - CERP WHAT'S IN YOUR BAGGAGE? HELPING WITHOUT HINDERING
102 - HOMEOPATHY IN CHILDREN
103 - PARENTING AND INTIMACY
104 - PREGNANCY AND BEYOND: NUTRITION FOR MOMS
105 - INFANT MASSAGE: COMMUNICATING THROUGH TOUCH
106 - PLAY 101: IT’S NOT ALL FUN AND GAMES ANYMORE
Session 2
1st Choice
Please Select
201 CERP - OVERCOMING BREASTFEEDING AMBIVALENCE
202 - DID THAT REALLY JUST HAPPEN AT THE LLL MEETING?
203 - BONDING WITHOUT BREASTS
204 - WHAT TO FEED YOUR BABY BEYOND THE BREAST
205 - ALLERGIES IN CHILDREN
206 - COMMUNICATING WITH CHILDREN
2nd Choice
Please Select
201 CERP - OVERCOMING BREASTFEEDING AMBIVALENCE
202 - DID THAT REALLY JUST HAPPEN AT THE LLL MEETING?
203 - BONDING WITHOUT BREASTS
204 - WHAT TO FEED YOUR BABY BEYOND THE BREAST
205 - ALLERGIES IN CHILDREN
206 - COMMUNICATING WITH CHILDREN
3rd Choice
Please Select
201 CERP - OVERCOMING BREASTFEEDING AMBIVALENCE
202 - DID THAT REALLY JUST HAPPEN AT THE LLL MEETING?
203 - BONDING WITHOUT BREASTS
204 - WHAT TO FEED YOUR BABY BEYOND THE BREAST
205 - ALLERGIES IN CHILDREN
206 - COMMUNICATING WITH CHILDREN
Session 3
1st Choice
Please Select
301 CERP - NEW METHODS OF INCREASING MILK PRODUCTION
302 - PARENTING THROUGH THE AGES (Cancelled)
303 - CONSCIOUSLY PARTNERING
304 - STORIES OF VAGINAL BIRTH AFTER CESAREAN (VBAC)
305 - JAUNDICE AND BREASTFEEDING
306 - TANDEM NURSING
2nd Choice
Please Select
301 CERP - NEW METHODS OF INCREASING MILK PRODUCTION
302 - PARENTING THROUGH THE AGES (Cancelled)
303 - CONSCIOUSLY PARTNERING
304 - STORIES OF VAGINAL BIRTH AFTER CESAREAN (VBAC)
305 - JAUNDICE AND BREASTFEEDING
306 - TANDEM NURSING
3rd Choice
Please Select
301 CERP - NEW METHODS OF INCREASING MILK PRODUCTION
302 - PARENTING THROUGH THE AGES (Cancelled)
303 - CONSCIOUSLY PARTNERING
304 - STORIES OF VAGINAL BIRTH AFTER CESAREAN (VBAC)
305 - JAUNDICE AND BREASTFEEDING
306 - TANDEM NURSING
Session 4
1st Choice
Please Select
401 CERP - BREASTFEEDING THROUGH TODDLERHOOD AND BEYOND
402- FINDING YOUR INNER MAMMAL
403- DIAPERING DECISIONS
404- FAMILY WELLNESS THROUGH CHIROPRACTIC CARE AND THE WEBSTER TECHNIQUE
405- BABY’S BRAIN ORGANIZATION AND REGULATION
406- GENTLE DISCIPLINE
2nd Choice
Please Select
401 CERP - BREASTFEEDING THROUGH TODDLERHOOD AND BEYOND
402- FINDING YOUR INNER MAMMAL
403- DIAPERING DECISIONS
404- FAMILY WELLNESS THROUGH CHIROPRACTIC CARE AND THE WEBSTER TECHNIQUE
405- BABY’S BRAIN ORGANIZATION AND REGULATION
406- GENTLE DISCIPLINE
3rd Choice
Please Select
401 CERP - BREASTFEEDING THROUGH TODDLERHOOD AND BEYOND
402- FINDING YOUR INNER MAMMAL
403- DIAPERING DECISIONS
404- FAMILY WELLNESS THROUGH CHIROPRACTIC CARE AND THE WEBSTER TECHNIQUE
405- BABY’S BRAIN ORGANIZATION AND REGULATION
406- GENTLE DISCIPLINE
Session 5
1st Choice
Please Select
501 CERP - BREASTFEEDING IN A NATURAL DISASTER
502 - HERBS AND BREASTFEEDING
503 - COMMUNICATING WITH YOUR SPOUSE
504 - TRANSITION TO BIRTH: PART 1
505 - SAFE BABYWEARING
506 - THE BUSINESS CASE FOR BREASTFEEDING (3 hour session)
2nd Choice
Please Select
501 CERP - BREASTFEEDING IN A NATURAL DISASTER
502 - HERBS AND BREASTFEEDING
503 - COMMUNICATING WITH YOUR SPOUSE
504 - TRANSITION TO BIRTH: PART 1
505 - SAFE BABYWEARING
506 - THE BUSINESS CASE FOR BREASTFEEDING (3 hour session)
3rd Choice
Please Select
501 CERP - BREASTFEEDING IN A NATURAL DISASTER
502 - HERBS AND BREASTFEEDING
503 - COMMUNICATING WITH YOUR SPOUSE
504 - TRANSITION TO BIRTH: PART 1
505 - SAFE BABYWEARING
506 - THE BUSINESS CASE FOR BREASTFEEDING (3 hour session)
Session 6
1st Choice
Please Select
601 CERP - LESS IS MORE: EMPOWERED MOTHER-BABY DYADS
602 CERP - HELPING MILLENIAL MOMS BREASTFEED
603 - HOW’S IT GOING?
604 - SIMPLE TOOLS TO START HEALING: PART 2
605 - CONSCIOUSLY PARENTING AMID CHAOS
2nd Choice
Please Select
601 CERP - LESS IS MORE: EMPOWERED MOTHER-BABY DYADS
602 CERP - HELPING MILLENIAL MOMS BREASTFEED
603 - HOW’S IT GOING?
604 - SIMPLE TOOLS TO START HEALING: PART 2
605 - CONSCIOUSLY PARENTING AMID CHAOS
3rd Choice
Please Select
601 CERP - LESS IS MORE: EMPOWERED MOTHER-BABY DYADS
602 CERP - HELPING MILLENIAL MOMS BREASTFEED
603 - HOW’S IT GOING?
604 - SIMPLE TOOLS TO START HEALING: PART 2
605 - CONSCIOUSLY PARENTING AMID CHAOS
Session 1 for co-registrant (spouse/partner/child care provider)
1st Choice
Please Select
101 - CERP WHAT'S IN YOUR BAGGAGE? HELPING WITHOUT HINDERING
102 - HOMEOPATHY IN CHILDREN
103 - PARENTING AND INTIMACY
104 - PREGNANCY AND BEYOND: NUTRITION FOR MOMS
105 - INFANT MASSAGE: COMMUNICATING THROUGH TOUCH
106 - PLAY 101: IT’S NOT ALL FUN AND GAMES ANYMORE
2nd Choice
Please Select
101 - CERP WHAT'S IN YOUR BAGGAGE? HELPING WITHOUT HINDERING
102 - HOMEOPATHY IN CHILDREN
103 - PARENTING AND INTIMACY
104 - PREGNANCY AND BEYOND: NUTRITION FOR MOMS
105 - INFANT MASSAGE: COMMUNICATING THROUGH TOUCH
106 - PLAY 101: IT’S NOT ALL FUN AND GAMES ANYMORE
3rd Choice
Please Select
101 - CERP WHAT'S IN YOUR BAGGAGE? HELPING WITHOUT HINDERING
102 - HOMEOPATHY IN CHILDREN
103 - PARENTING AND INTIMACY
104 - PREGNANCY AND BEYOND: NUTRITION FOR MOMS
105 - INFANT MASSAGE: COMMUNICATING THROUGH TOUCH
106 - PLAY 101: IT’S NOT ALL FUN AND GAMES ANYMORE
Session 2 for co-registrant (spouse/partner/child care provider)
1st Choice
Please Select
201 CERP - OVERCOMING BREASTFEEDING AMBIVALENCE
202 - DID THAT REALLY JUST HAPPEN AT THE LLL MEETING?
203 - BONDING WITHOUT BREASTS
204 - WHAT TO FEED YOUR BABY BEYOND THE BREAST
205 - ALLERGIES IN CHILDREN
206 - COMMUNICATING WITH CHILDREN
2nd Choice
Please Select
201 CERP - OVERCOMING BREASTFEEDING AMBIVALENCE
202 - DID THAT REALLY JUST HAPPEN AT THE LLL MEETING?
203 - BONDING WITHOUT BREASTS
204 - WHAT TO FEED YOUR BABY BEYOND THE BREAST
205 - ALLERGIES IN CHILDREN
206 - COMMUNICATING WITH CHILDREN
3rd Choice
Please Select
201 CERP - OVERCOMING BREASTFEEDING AMBIVALENCE
202 - DID THAT REALLY JUST HAPPEN AT THE LLL MEETING?
203 - BONDING WITHOUT BREASTS
204 - WHAT TO FEED YOUR BABY BEYOND THE BREAST
205 - ALLERGIES IN CHILDREN
206 - COMMUNICATING WITH CHILDREN
Session 3 for co-registrant (spouse/partner/child care provider)
1st Choice
Please Select
301 CERP - NEW METHODS OF INCREASING MILK PRODUCTION
302 - PARENTING THROUGH THE AGES (Cancelled)
303 - CONSCIOUSLY PARTNERING
304 - STORIES OF VAGINAL BIRTH AFTER CESAREAN (VBAC)
305 - JAUNDICE AND BREASTFEEDING
306 - TANDEM NURSING
2nd Choice
Please Select
301 CERP - NEW METHODS OF INCREASING MILK PRODUCTION
302 - PARENTING THROUGH THE AGES (Cancelled)
303 - CONSCIOUSLY PARTNERING
304 - STORIES OF VAGINAL BIRTH AFTER CESAREAN (VBAC)
305 - JAUNDICE AND BREASTFEEDING
306 - TANDEM NURSING
3rd Choice
Please Select
301 CERP - NEW METHODS OF INCREASING MILK PRODUCTION
302 - PARENTING THROUGH THE AGES (Cancelled)
303 - CONSCIOUSLY PARTNERING
304 - STORIES OF VAGINAL BIRTH AFTER CESAREAN (VBAC)
305 - JAUNDICE AND BREASTFEEDING
306 - TANDEM NURSING
Session 4 for co-registrant (spouse/partner/child care provider)
1st Choice
Please Select
401 CERP - BREASTFEEDING THROUGH TODDLERHOOD AND BEYOND
402- FINDING YOUR INNER MAMMAL
403- DIAPERING DECISIONS
404- FAMILY WELLNESS THROUGH CHIROPRACTIC CARE AND THE WEBSTER TECHNIQUE
405- BABY’S BRAIN ORGANIZATION AND REGULATION
406- GENTLE DISCIPLINE
2nd Choice
Please Select
401 CERP - BREASTFEEDING THROUGH TODDLERHOOD AND BEYOND
402- FINDING YOUR INNER MAMMAL
403- DIAPERING DECISIONS
404- FAMILY WELLNESS THROUGH CHIROPRACTIC CARE AND THE WEBSTER TECHNIQUE
405- BABY’S BRAIN ORGANIZATION AND REGULATION
406- GENTLE DISCIPLINE
3rd Choice
Please Select
401 CERP - BREASTFEEDING THROUGH TODDLERHOOD AND BEYOND
402- FINDING YOUR INNER MAMMAL
403- DIAPERING DECISIONS
404- FAMILY WELLNESS THROUGH CHIROPRACTIC CARE AND THE WEBSTER TECHNIQUE
405- BABY’S BRAIN ORGANIZATION AND REGULATION
406- GENTLE DISCIPLINE
Session 5 for co-registrant (spouse/partner/child care provider)
1st Choice
Please Select
501 CERP - BREASTFEEDING IN A NATURAL DISASTER
502 - HERBS AND BREASTFEEDING
503 - COMMUNICATING WITH YOUR SPOUSE
504 - TRANSITION TO BIRTH: PART 1
505 - SAFE BABYWEARING
506 - THE BUSINESS CASE FOR BREASTFEEDING (3 hour session)
2nd Choice
Please Select
501 CERP - BREASTFEEDING IN A NATURAL DISASTER
502 - HERBS AND BREASTFEEDING
503 - COMMUNICATING WITH YOUR SPOUSE
504 - TRANSITION TO BIRTH: PART 1
505 - SAFE BABYWEARING
506 - THE BUSINESS CASE FOR BREASTFEEDING (3 hour session)
3rd Choice
Please Select
501 CERP - BREASTFEEDING IN A NATURAL DISASTER
502 - HERBS AND BREASTFEEDING
503 - COMMUNICATING WITH YOUR SPOUSE
504 - TRANSITION TO BIRTH: PART 1
505 - SAFE BABYWEARING
506 - THE BUSINESS CASE FOR BREASTFEEDING (3 hour session)
Session 6 for co-registrant (spouse/partner/child care provider)
1st Choice
Please Select
601 CERP - LESS IS MORE: EMPOWERED MOTHER-BABY DYADS
602 CERP - HELPING MILLENIAL MOMS BREASTFEED
603 - HOW’S IT GOING?
604 - SIMPLE TOOLS TO START HEALING: PART 2
605 - CONSCIOUSLY PARENTING AMID CHAOS
2nd Choice
Please Select
601 CERP - LESS IS MORE: EMPOWERED MOTHER-BABY DYADS
602 CERP - HELPING MILLENIAL MOMS BREASTFEED
603 - HOW’S IT GOING?
604 - SIMPLE TOOLS TO START HEALING: PART 2
605 - CONSCIOUSLY PARENTING AMID CHAOS
3rd Choice
Please Select
601 CERP - LESS IS MORE: EMPOWERED MOTHER-BABY DYADS
602 CERP - HELPING MILLENIAL MOMS BREASTFEED
603 - HOW’S IT GOING?
604 - SIMPLE TOOLS TO START HEALING: PART 2
605 - CONSCIOUSLY PARENTING AMID CHAOS
Optional Meals and Extra Activities
Number of family members at Saturday family fun night
(free)
Adult number attending Saturday buffet lunch
($28.65)
Children Ages 6-12 buffet lunch ($16.90)
Saturday Boxed Lunch ($23.45)
Turkey or Veggie?
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