Add Business Form

Please note: If you have more than one business premises, please submit a separate form for each one. You will receive a sticker for each premises you register.

Details to be displayed on the Gloucestershire Welcomes Breastfeeding website:

Name of Business:*

Business Type (e.g. Cafe, library, theatre, shop, surgery):*

Premises Address (where breastfeeding mothers will be welcomed): (Must include postcode):*

Business Telephone number:

Business Email Address:

Business Website:

*Indicates required fields

Contact details (for administrative use only, not to be included on the website and public marketing materials):

Owner/Manager’s name:*

Owner/Manager’s email address:*

Owner/Manager’s phone number:*

Gloucestershire Welcomes Breastfeeding runs a Facebook page at www.facebook.com/gloswelcomesbreastfeeding. If your business has a Facebook page, we would be very happy to promote it to our followers to recognise your involvement with the scheme. If you are happy for us to do this, please add your Facebook URL below:

Facebook page:

 You confirm that you are the owner and/or manager of the above-named business and you agree to the following:

  • Your business details being displayed on the scheme website
  • Your business details being used in promotional literature and marketing materials for the scheme
  • To display a Gloucestershire Welcomes Breastfeeding sticker in a prominent position within your business premises so members of the public are aware of your membership of the scheme
  • Breastfeeding is acceptable in all areas of the business premises that are open to the general public and women who are breastfeeding in those areas will not be asked to stop or to move to another area.
  • Staff members will be aware that some women prefer privacy when feeding so will offer a private area if one is available.
  • All staff members will be aware of the membership of the scheme and will be supportive to the needs of breastfeeding mums.

Your name:*

Your position in business:*