September 2021 Hemophilia Council of California Health Policy Summit Registration
Sign up to attend the Hemophilia Council of California's Bi-Annual Health Policy Summit on September 23 from 1:00 pm to 4:00 pm online via Zoom. You will receive your Zoom login information in September for this Summit.

One ticket is provided per Health Policy Summit membership OR tickets can be purchased on HCC's website at  There is NO limit on the number of tickets per organization: http://www.hemophiliaca.org/programs/health-policy-summit#membership

The Summit will follow the Health Care Access Forum. Separate registration is required for the morning Forum.
Sign in to Google to save your progress. Learn more
Email *
First Name *
Last Name *
Title
Company
MEDIA RELEASE:  During this program, photographs, audio and video may be taken to document the program. I hereby grant the HCC, its assignees, contractors, licensees, sponsors and transferees permission to record my likeness and voice and the right to use my likeness, voice and name in any professionally produced or distributed products or materials, for any broadcast of the products or materials, and any publicity for the aforementioned products or materials. I understand that such use may include publication, media reproduction, audio and/or video broadcast, internet distribution/access and other uses as desired by the HCC and its employees from and against any and all liability arising out of or connected in any way with the use of reproductions of my image, voice, or text. Note: Please omit initials if you choose not to grant permission for media reproduction and distribution. *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Hemophilia Council of California. Report Abuse