The Couple to Couple League is an international non-profit organization based in Cincinnati, Ohio, dedicated to teaching and promoting Natural Family Planning. Specifically, CCL promotes the sympto-thermal method of fertility awareness and also promotes exclusive and continued breastfeeding. CCL views natural family planning as "a way of life, not just a method of birth regulation," and includes moral and religious values from a Roman Catholic point of view in its publications and classes. History The Couple to Couple League was founded in 1971 by John and Sheila Kippley, lay Catholics, with the help of Dr. Konald Prem. The League was the first organization to teach a symptoms-based method of fertility awareness that relied on all three primary fertility signs: temperature, mucus, and also cervical position. CCL has grown to be the largest natural family planning provider in the United States, teaching the symptothermal method to almost 8,000 couples in 2004. In addition to chapters throughout the United States, CCL has a presence in 23 other countries. CCL focuses on countries where English or Spanish is an official language. Structure CCL has 16 paid employees, all working at their headquarters building in Cincinnati, Ohio. In 2006, financial rating organization Charity Navigator gave CCL a 4-star (highest) rating for "organizational efficiency", but due to several years of declining programming expenditures, only 1 star for "organizational capacity". CCL recruits married couples who are current members of the organization as teaching couples. Teaching couples undergo training and a certification process at no cost to themselves. Teaching couples are required to agree with and live by the moral and religious beliefs advocated by CCL. While teaching couples are volunteers who receive no compensation, their students are charged a fee to cover materials used in the class, and a one-year membership with the Couple to Couple League. Membership includes a subscription to CCL's bimonthly magazine and counseling or assistance in interpreting sympto-thermal charts. Classes normally contain moral and religious content, but teachers will sometimes honor requests for private classes with no religious information. Publicity CCL has volunteers called Promoters or Public Relations Representatives who work to increase the visibility of the organization. Like teachers, promoters are required to agree with and live by certain moral and religious requirements. Family Foundations, a bimonthly magazine, is used as both a communication tool with CCL's current supporters, and as an evangelizing tool. CCL also uses the internet as a