DonateMyMilk .com

Donor Questionnaire

Mother's Milk Cooperative

Consent

Click here to view the Membership Agreement.


  1. I have reviewed the information provided to me regarding milk donation.
  2. I understand my responsibilities as a donor.
  3. I agree to the terms and conditions in the above legal Membership Agreement.


I understand that if I am currently nursing a baby, I must wait until the baby reaches three months of age before beginning milk donation. This is to ensure that my baby has a sufficient supply of his/ her mother's own milk. If there are extenuating circumstances I understand I am able to contact the Mother's Milk Cooperative with any questions.

Personal Information

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