Join the New York Lactation Consultant Association

Fill out the membership form and press the "Send form to NYLCA" button. Once you've sent the form, a page with payment buttons will load, and allow you to pay your membership fee with a credit card or debit card securely online.

NYLCA now offers two levels of membership. Professional membership is open to IBCLC's only. Professional members can hold office; appear on the NYLCA referral list (upon attendance at 2 meetings a year); and receive all mailings and email alerts. Associate membership is open to student lactation consultants, peer counsellors, La Leche League Leaders, breastfeeding related business owners, and others who assist breastfeeding mothers in a non-IBCLC capacity. Associate members receive newsletters but limited other mailings. All members receive conference and meeting notices and member discounts.

First Name: Last Name: Titles:

Address:

City: State: Zip:

Business Phone: Home Phone: Fax Number:

E-mail address:

New Member: Renewing Member:

Membership Type:Professional Associate

Member of ILCA: (NYLCA encourages ILCA Membership)

IBCLC: Year Certified: Most Recent Recertification:

Are you currently practicing as a Lactation Consultant?:

If yes, type of practice (hospital, private, etc.):

Special skills or interests you would be willing to use on behalf of NYLCA:

Interested in:   NYLCA Programming: NYLCA Welcoming Committee: NYLCA Conference Committee: NYLCA Secretarial Committee (Mailings):

NYLCA occasionally shares its member list with Executive Board- approved groups and organizations who have a shared interest/committment to breastfeeding. If you do not want your name shared please check here.

OR Fill out and print this application and mail with your $40.00 (professional) or $25.00 (associate) membership check made out to NYLCA to:

New York Lactation Consultant Association

c/o Kate Sharp, IBCLC

495 West End Ave. #9C

New York, NY 10024