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Pharr Community Baby Shower Registration
Saturday, August 15, 2026 | 10:00AM - 12:00PM | Pharr One- 1121 E Nolana Loop Pharr, TX 78577
Welcome!
The City of Pharr Public Health Department is excited to celebrate expecting mothers and families during our Community Baby Shower in recognition of National Breastfeeding Month. Join us for a FREE morning filled with games, prizes, educational resources, community partners, refreshments, and fun as we celebrate healthy moms, healthy babies, and stronger families.
Eligibility
1. Are you a resident of the City of Pharr?
*
Please Select
Yes
No
This event is exclusively for City of Pharr residents. Proof of residency is required at check-in.
Pregnancy Information
2. Are you currently pregnant?
*
Please Select
Yes
No
3. If pregnant, what is your expected due date?
/
Month
/
Day
Year
4. This is my:
Please Select
First Child
Second Child
Third Child
Fourth Child or More
Mothers Information
5. Mothers Full Name
*
First Name
Last Name
6. Date of Birth
*
/
Month
/
Day
Year
7. Home Address
*
Street Address
Street Address Line 2
City
State
Zip Code
8. Phone Number
*
Format: (000) 000-0000.
9. Email Address
*
example@example.com
Health & Wellness Interests
10. Which topics would you like more information about? (Select all that apply.)
*
Breastfeeding Support
Prenatal Care
Infant Nutrition
Safe Sleep
Infant CPR & Safety
Car Seat Safety
Childhood Immunizations
Parenting
Child Development
Postpartum Mental Health
Family Planning
Healthy Eating & Physical Activity
11. Which services would benefit your family most? (Select up to three.)
*
Food Assistance
WIC
Childcare Resources
Housing Assistance
Transportation Assistance
Employment Resources
Financial Literacy
Parenting Support Groups
Mental Health Services
Other
Future Communication
12. How would you like to receive information about future City of Pharr Public Health programs and events?
*
Text Message
Email
Phone Call
Guests
13. Will you be bringing guests? (Each registered participant may bring up to two (2) guests)
*
No, I will attend alone.
Yes, I will bring one (1) guest.
Yes, I will bring two (2) guests.
Participant Acknowledgment & Consent
By signing below, I acknowledge and agree to the following:
I certify that I am a
resident of the City of Pharr
and understand that
proof of residency may be required
at check-in.
I understand this event is intended for
expecting mothers and their families,
and that each registered participant may bring
up to two (2) guests.
I understand that participation in event giveaways, including the complimentary baby onesie and other promotional items, is
subject to availability
while supplies last.
I authorize the City of Pharr Public Health Department to use the information provided on this registration to communicate with me regarding this event and future maternal, child, and family health programs, services, and educational opportunities.
I grant permission to the City of Pharr to photograph or record me and my guests during the event and to use those photographs, video recordings, or other media for educational, promotional, and public information purposes without compensation.
I certify that the information provided on this registration is true and accurate to the best of my knowledge.
Printed Name
*
Date
*
/
Month
/
Day
Year
Submit Form
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