Baby Bib Request Form

Is there a future doctor in your house? Let us know by completing the form below, and the UVA Medical Alumni Association will send you a free VMED baby bib. This offer is available to alumni, current and former trainees, and medical students at the UVA School of Medicine.

Your Name(Required)

First Last

Affiliation with the UVA School of Medicine(Required)

Class Year (if applicable)

Your Preferred Email(Required)

Your Preferred Mailing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Child's Birthday or Date You're Expecting(Required)

Child's Name (if known)

Comments (optional)

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Baby Bib Request Form