Sunday, May 6th, 2012
11:00am - 4:00pm
Croatian Cultural Centre Vancouver, BC
3250 Commercial Drive
Auditorium I, Main Level

Registration is for you and a guest. You do not need to register your guest for this event.
Admission is by donation to Basics for Babies

Attendee Registration - Step One

* Attendee's Last Name:

* Attendee's First Name:

* Mailing Address:

* City:

Prov:

* Postal Code

* Phone: (example: 604-555-0000)

Alternate Phone: (example: 604-555-0000)

* How did you hear about our Bellies to Babies Celebration?

* Email Address: Must be vaild in order to confirm your registration. No email address enter N/A @ hotmail.com to proceed.

Child / Baby Information - Step Two

* Are you expecting?

Yes

Adopting

Mother's Due Date: (example: mm/dd/yy)

Please ensure information you provided is correct before proceeding. You will receive a confirmation email shortly.

If you do not have a working email address you will not receive a confirmation email from us telling you that your registration for Bellies to Babies Celebration has been received.

Policy: Bellies to Babies Celebration tradeshow abides to all privacy rules set out by the Privacy Act of Canada and respects the wishes of those attendees that do not wish to be contacted by following the National Do Not Call List www.lnnte-dncl.gc.ca

* Indicates Response Required