Adult Registrant (Who's name should the hotel be under?)
Do you need a hotel room?
Yes, I need a hotel room for Friday night
No, I do not need a hotel room
Is your family planning on being present for all meals?
What type of NOHF Membership do you have?
I am a consumer member (I either have a bleeding disorder or am the partner of or parent of a minor child with a bleeding disorder). You will not be responsible for any registration fees. Each consumer family member/household is eligible for one sleeping room. Suites are available on a first-come, first-served basis for families with more than three minor children.
I am a non-consumer member (friend or extended family member or friend of a person with a bleeding disorder, ie. adult sibling, grandparent, aunt, uncle or cousin). I understand that I will be put on a waiting list and will be responsible for a registration fee of $50 if there is space for my attendance. You will be notified two weeks prior to the meeting if there is space.
Please list any other adults 18 and over attending, besides the adult mentioned above. Eligible adults are spouses/partners/parents and adult children living in the household or at college. No additional guests are permitted to attend:
Please list any children and teens ALONG WITH THEIR AGES. Eligible children and teens include those with a bleeding disorder and their siblings. No additional guests are permitted to attend:
E-mail Address for confirmation, questions and agenda
Please list any special dietary or lodging requirements:
Should be Empty: