Individual Membership

Ready to join on an Individual Membership?

Becoming a member of the Indiana Breastfeeding Coalition (IBC) is free for all organizations and individuals. Individual members are often affiliated with an active IBC organizational member, but it is not required. Individual members are health professionals, coalition leaders, community change-agents, physicians, nurses, students, advocates, etc. For your organization to be recognized as an IBC member, an organizational form must be submitted. For more information about Membership Benefits and Responsibilities please visit our Get Involved page.

Individual Membership Form

Name(Required)
Email(Required)
Alternate Email
Do you want to be added to our email list?
Are you a lactation professional?(Required)
Do you have a Lactation Credential? If yes please select all that apply.(Required)
Are you interested in volunteering time? If yes, please select available time per month.(Required)
Do we have your permission to add you as a listed resource on the Indiana Breastfeeding Coalition website?(Required)
Would you like information on how to become a board member?
Would you like information on how to assist with the Terry Jo Curtis Scholarship fund?
Today's Date
How did you hear about us? *
Give a short description on who you are and why you are interested in applying for an individual membership through IBC.