PULSE for Bleeders - Sign Up

PULSE for Bleeders (Promoting Unity, Leadership, and Support for Empowerment) is a new group launching in the NYCHC Community! PULSE was designed by and for teens in our community to empower other 13-19 year olds to gain independence, improve their collaboration, and cultivate their leadership skills by embracing the bleeding disorders community in our area. 

Our next get together will be on Saturday, April 13 from 11 AM to 1 PM at the NYCHC Office (205 W. 37th St.). Sign up below! 

Sign in to Google to save your progress. Learn more
Teen First & Last Name
Email Address
Cell Phone Number
Age
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of New York City Hemophilia Chapter. Report Abuse