2021 Virtual Annual Meeting Registration

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Thursday, April 15 @ 6:30 pm - Virtual Painting Night --> *Deadline for registration if you need supplies shipped to you is Sunday, April 11.

Friday, April 16 @ 6:30 pm - Virtual Escape Room

Saturday, April 17 @ 10:00 am - 12:00 pm -
World Hemophilia Day & BDAND's 6th Birthday Celebration, Sponsor Open House, Unite Rally

**Special event boxes will be sent to registrants for Saturday's celebrations! **

--All participants who attend the full programs on Friday & Saturday will receive a $30 DQ Gift Card & $30 Papa Murphy's Gift Card per household ---

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Name *

Email *

Cell # *

Street Address *

City *

State *

Zip Code *

# of household members attending *

What type of community member are you? *

Patient/Caregiver

HTC staff

Friend of BDAND member

Relative of BDAND member

Outro:

Which days will you attend? *

Thursday Painting Night @ 6:30

Friday Escape Room @ 6:30

Saturday World Hemophilia Day Celebration, Sponsor Open House, Unite Rally @ 10 am -12 pm

Obrigatória

If you are attending the painting: *

Yes, send me water color painting supplies

No, I have my own water color painting supplies

N/A - Not attending

Do you have any food allergies in your household?

I consent to allowing BDAND to take pictures of me or my family during any video calls as well as use pictures or videos posted in the Goosechase App. *

Yes

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