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We're Looking for Breastfeeding Pictures! To celebrate World Breastfeeding Month - August 2009 - the Breastfeeding Task Force of Nevada is collecting pictures from breastfeeding mothers to produce a 2010 Nevada Breastfeeding Calendar. This calendar will be distributed across the state to physician offices, WIC clinics, local health departments and other sites to promote and normalize breastfeeding. Photos will include breastfeeding women and their babies from across the state of Nevada who also work outside the home. Photography Requirements:
To enter a possible breastfeeding photo for the 2010 calendar, email or mail the following entry form and a digital photo (submitted as an attachment or on a disk) with resolution of at least 1600 x 1200 in *jpg format to Kelly Langdon (contact information listed below). Photos must be received by June 30, 2009 to be considered. We"re Looking for Breastfeeding Pictures! Send all correspondence regarding the calendar to: Kelly Langdon, Statewide Breastfeeding Coordinator Nevada State Health Division 4150 Technology Way, Suite 101 Carson City, NV 89706 klangdon@health.nv.gov 775-684-4299 phone 775-684-4245 fax
2010 Nevada Breastfeeding Calendar Photography Entry Form Fill in the information of the breastfeeding woman and child below (please type/print clearly): Mother’s Name: _____________________________________________________________ Email Address: _____________________________________________________________ Phone Number: _____________________________________________________________ Child’s Name: _______________________________________________________________ Home Address: _____________________________________________________________ City: _______________________________________________ Zip: __________________ I agree that this photograph will become property of the Breastfeeding Task Force of Nevada and may be displayed or reproduced for breastfeeding or perinatal health promotion. I agree that I have no legal or financial right to the photograph once it has been submitted. Check this box if first name of mother and child may be used in display. [ ] Signature of Breastfeeding Woman: ______________________________________________ Date: ______________________________________________________________________ Fill in the information of the photographer below (please type/print clearly): Photographer’s Name: ________________________________________________________ Phone Number: _____________________________________________________________ Address: __________________________________________________________________ City: _______________________________________________ Zip: __________________ I agree that this photograph will become property of the Breastfeeding Task Force of Nevada and may be displayed or reproduced for breastfeeding or perinatal health promotion. I agree that I have no legal or financial right to the photograph once it has been submitted. Signature of the Photographer: __________________________________________________ Date: _______________________________________________________________________ All entries must be completed and signed by both the photographer and the woman who is photographed during breastfeeding.
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©2009 Breastfeeding Task Force of Nevada |