Please fill out the form below to be added to the Women's Retreat WAITLIST for May 18 -19, 2024.
If space becomes available, you will be called and emailed a separate registration link. Questions? Please contact Patrice Thomas, pthomas@hfmich.org
Does someone in your immediate family have a bleeding disorder? Please note: the Women's Retreat is only open to individuals with bleeding disorders and their immediate family members.
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Yes
No
Who should be contacted if space becomes available?
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First Name
Last Name
Phone Number
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Area Code
Phone Number
What e-mail should we send a registration link to if space becomes available?
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example@example.com
If space becomes available, will you need us to reserve a hotel room(s) for you on Saturday night?
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Yes, I would need hotel accommodations.
No- I would attend, but would be responsible for my own accommodations.
Submit
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