Moms Under Pressure Registration

Questions marked with a * are required

Thank you for participating in this formative program. Our hope is to provide you with the tools to help you thrive throughout your pregnancy, educate you about your health, and to be and feel connect to various resources throughout Southwest Virginia. By completing this registration, you are agreeing to be apart of the Mom's Under Pressure Program. Please allow 7-10 minutes to respond accordingly and to the best of your ability. We will be collecting data to help foster the growth of this program and to obtain future funding. All data will remain confidential and secure. There will be no identifying data used to obtain funding or for research purposes.

Huddle Up Moms receives donated blood pressure cuffs for distribution to mothers in need through its

Moms Under Pressure program.

By clicking yes and signing you agree to be apart of the Mom's Under Pressure Program with the following understanding:

1. Huddle Up Moms only accepts donations of new blood pressure cuffs in their original packaging. However, Huddle Up Moms is not the manufacturer or original purchaser of the blood pressure cuffs, and cannot guarantee that the blood pressure cuffs are free of deficiencies. Therefore, you agree to release Huddle Up Moms and its directors, officers, employees, staff, volunteers and representatives from any and all liability, costs, damages or claims which might arise from your receipt of and/or use of the donated blood pressure cuff.

2. Huddle Up Moms is not a medical provider. The blood pressure cuffs, toolkits and educational materials provided by Huddle Up Moms are for informational and educational purposes only. They do not constitute providing medical advice or professional services. The blood pressure cuffs, toolkits and educational materials should not be used for diagnosing or treating a health problem or disease. Always seek the advice of your doctor or other qualified health provider regarding a medical condition or concern. Never disregard professional medical advice or delay seeking it because of something your have read in the educational materials provided to you by Huddle Up Moms.

Do you agree to participate in the registration ? (Select one)

Yes