2025 National Women's Conference Application

October 3-5, 2025

Join us in-person only!

Please note: After several years of offering a virtual option, this program is returning to in person only.

There is NO CHARGE for this event!

Thank you for your interest in attending this one-of-a-kind event!
To be eligible to apply, participants must be 18 years of age or older and meet one or more of the following criteria:
- Be diagnosed with or a carrier experiencing symptoms of hemophilia A (VIII) or B (IX).
- Be diagnosed with or a carrier experiencing symptoms of one of the following rare factor deficiencies: fibrinogen, prothrombin, V/5, VII/7, X/10, XI/11, or XIII/13.
- Experiencing bleeding symptoms such as heavy periods, easy bruising, or bleeding complications after dental work, surgery, or childbirth
Please note the following diagnoses are not addressed at this conference:
- VWD
- Low factor VIII with a VWD diagnosis
- Factor 5 Leiden
Each applicant, including family members, must submit a separate application.

We reserve the right to refuse participation to any applicant.

This program takes place at The Westin Detroit Metropolitan Airport Hotel. Transportation is provided free of charge to attendees living within the 48 contiguous states and Puerto Rico. For those living more than 300 miles from the venue, airfare will be covered. For those living within 300 miles, fuel costs will be reimbursed.

For more information including speakers and session topics, please visit the Women's Conference event page.

For questions contact Shari Luckey: sluckey@hfmich.org
Applying as:*

HFM National Women’s Conference Application

Please complete all parts of the application. Note, applying does not guarantee selection, as we must consider multiple factors, including diverse representation of states, the number of first-time attendees, and funding capacity. If your application is accepted, you will be contacted by a member of the HFM staff.

HFM National Women’s Conference - Attendance/Cancellation Policy

If you register for the 2025 National Conference for Women and are unable to attend, you must notify Shari Luckey at sluckey@hfmich.org as soon as possible.

Please note: If HFM is not notified of your cancellation and you do not attend, you will not be eligible to participate in the National Conference the following year.

This policy is in place to address the challenges that occur when registered participants do not inform us of changes to their plans. No-shows impact program logistics, space availability, and overall costs. Since space and funding are limited—and waitlists are often in place—timely cancellations allow us to offer opportunities to others and responsibly manage program resources.

Your consideration and communication help ensure a meaningful, well-organized experience for fellow community members, speakers, volunteers, and staff. Thank you for your understanding and support.
No Recording Allowed Policy

HFM programs include various mediums such as audio-visual and interactive presentations. Respect for privacy and intellectual property rights is crucial. By participating, you agree not to record, save, share, or post session content or photos without prior written permission. Your signature below indicates your acceptance of these terms.
Waiver and Release of Liability

The Hemophilia Foundation of Michigan (HFM) is dedicated to ensuring a safe environment for all community members, including consumers, providers, presenters, exhibitors, and staff. Despite our efforts, participating in public events carries inherent risks.

By attending this event, you acknowledge and accept these risks voluntarily, and further acknowledge and agree to the following:

Assumption of Risk: You are aware and understand that attendance at this event may be dangerous and may expose you to a variety of foreseen and unforeseen hazards and risks, including without limitation risks associated with contagious diseases and you assume such risks, including any and all risk of injury, harm, or loss that may incur as a result of attendance at or participation in this event.

Waiver and Release: You hereby fully and forever release and discharge HFM from, and expressly waive, any and all liability, claims, and demands of whatever kind or nature, either in law or in equity, that may arise from your attendance at and participation in the event. Further, you covenant not to make or bring any such claim or demand against HFM, and fully and forever release and discharge HFM from liability under such claims or demands.

Indemnification: You agree to indemnify, defend and hold harmless HFM and its associates from any liability, losses, damages, judgments, or expenses, including attorneys’ fees, that it may incur as a result of your participation in the event.

Medical Attention: You consent to receive necessary medical treatment during the event, acknowledging your financial responsibility for such treatment.

Invalidity/Unenforceability: If any part of this agreement is found invalid, the remaining provisions will remain in effect.

Miscellaneous: I hereby agree that this Waiver and Release represents the full understanding between HFM and me and supersedes all other prior agreements, understandings, representations, and warranties, both written and oral, between us, with respect to the subject matter hereof.

Governing Law: I hereby agree that this Waiver and Release is intended to be as broad and inclusive as permitted, and that this Waiver and Release shall be governed by and interpreted in accordance with the laws of the State of Michigan, without reference to any choice of law doctrine.

I UNDERSTAND THAT THIS RELEASE DISCHARGES THE HEMOPHILIA FOUNDATION OF MICHIGAN FROM ANY LIABILITY OR CLAIM THAT I MAY HAVE AGAINST THE HEMOPHILIA FOUNDATION OF MICHIGAN WITH RESPECT TO ANY BODILY INJURY, PERSONAL INJURY, ILLNESS, DEATH, PROPERTY DAMAGE, OR PROPERTY LOSS THAT MAY RESULT FROM THIS EVENT, WHETHER CAUSED BY THE NEGLIGENCE OF THE HEMOPHILIA FOUNDATION OF MICHIGAN OR OTHERWISE.

BY SIGNING BELOW, YOU CONFIRM THAT YOU HAVE READ AND UNDERSTOOD THIS WAIVER, RELEASE OF LIABILITY, INDEMNIFICATION, AND CONSENT. YOU ACKNOWLEDGE THAT YOUR PARTICIPATION IS VOLUNTARY AND AGREE TO COMPLY WITH SAFETY INSTRUCTIONS PROVIDED BY HFM AND EVENT VENUES. FAILURE TO COMPLY MAY RESULT IN EXCLUSION FROM THE EVENT.
Photo and Video Release

Why We Ask:

It is HFM’s pleasure to host community members at various events throughout the year. By documenting these events through photo and/or video we hope to maintain a historical record of community activities, share photos for future events or activities, and promote fundraising efforts that support HFM events and services. It is a joy to reminisce when looking through photos, we hope to preserve community memories and moments.
Please select one:*

I consent to and authorize the use and reproduction, in print or electronic format by the Hemophilia Foundation of Michigan (HFM), or anyone authorized by HFM, of any and all photographs or video of me which have been taken for this event, for any publicity, without compensation. I understand that all images and quotations of/by me—electronic, print, and recordings—are owned by HFM which may publish or use them in any professional manner, including, but not limited to: print publications, websites, social media, and broadcast media. I acknowledge that I am 18 years of age or older and have read and understood the terms of this release.I do not authorize or permit the Hemophilia Foundation of Michigan (HFM) or its authorized agent to use photos and/or video of me.
By signing below, you confirm that you have read and understand the Attendance/Cancellation Policy, Waiver and Release of Liability, No Recording Allowed Policy, and have indicated your preference regarding photo permissions.*

Clear

Speaker Information Needed:

This information will help us prepare printed materials, update our website, and ensure we are fully prepared for your presentation.
Name (as you would like it to appear in our program):

PrefixFirst NameLast NameCredentialsSuffix
Cell Phone Number:*
Email*
example@example.com
Name HTC, medical facility, organization, or company where you work*
Please provide a brief professional biography as you would like it to appear in the program.

100 word limit0/100
If you would like us to use a previously submitted headshot for the program and website, please indicate below. Otherwise, kindly upload your current headshot.*

Yes, please use the last headshot I provided.No, I will upload my current headshot or email it to Shari Luckey sluckey@hfmich.org.
Upload your headshot for our program:

Browse Files

Cancelof
Will you be creating a PowerPoint presentation? (Presentations are due to HFM staff by September 15.)*

YesNo
May we share your PowerPoint presentation in PDF format with attendees and sponsors after the conference?*

YesNo

Leader in Action (LIA) Small Groups

Last year, the small group breakout sessions led by Leader in Action (LIA) members were very well received, with many attendees requesting more time for this type of connection.
Cohort Group Categories

(Please review the descriptions before making your selection below.)
- Young Adult (Ages 18–34) - For women navigating early adulthood, identity, independence, relationships, and managing a bleeding disorder in work, school, or new life stages.
- Midlife (Ages 35–55) - For women balancing caregiving, careers, personal health, and evolving roles—while living with or managing hemophilia or a rare factor deficiency.
- Prime Time (Ages 55+) - For women in later stages of life, reflecting on lived experience, aging with a bleeding disorder, advocacy, and legacy.
- Family Planning - For those exploring fertility, pregnancy, parenting, and reproductive health while living with a bleeding disorder or carrying a genetic trait.
- Hemophilia A - For women with Hemophilia A, including carriers with symptoms, looking to connect with others who share this diagnosis, explore how it impacts daily life, and support one another through shared understanding.
- Hemophilia B - For women with Hemophilia B, including carriers with symptoms, looking to connect around shared experiences, how this condition impacts daily life, and ways to manage care and advocacy.
- Rare Factor Deficiencies - For women diagnosed with rare factor deficiencies (e.g., Factor I, II, V, VII, X, XI, XIII). This group offers space to share unique experiences and build community around lesser-known bleeding disorders.
- Other - For women whose experiences don’t quite fit into the listed categories. Please suggest a category that better describes your situation, whether it’s a different life experience, or a unique perspective you’d like to explore with others.
Please select 1–2 group categories you feel would be a good fit for you to join each day of the conference. Final group placement will be based on overall interest and number of participants in each category.*

Young Adults 18-34Midlife Adults 35-55Prime Time (Ages 55+)Family PlanningHemophilia AHemophilia BRare Factor DeficienciesOther

Your Feedback
What changes do you hope to see in the next five years for women living with bleeding disorders and what would you say to younger girls or women just beginning their journey?*
What question(s) would you like to have answered by our medical professionals? *
What question(s) would like to have answered by our industry sponsors who manufacture products for hemophilia and other bleeding disorders?*

Travel

Airline travel will be arranged for attendees who live more than 300 miles from the conference location.
How would you like to travel to the conference?*

CarAirplaneI will be arranging and paying for my own travel
Airline Travel
To coordinate airline travel, we have partnered with ASK Travel Services. If you are selected to attend and meet the distance requirement, HFM will share your contact information (phone and email) with our travel agent, Angie Shaw. She will reach out within 14 days of your acceptance to coordinate your flight arrangements.

Please Note:
HFM is unable to reimburse the following travel-related expenses:
- Transportation to/from your home airport
- Parking at your home airport
- Baggage fees
- Meals or snacks while traveling
Driving & Fuel Reimbursement
Fuel reimbursement is available for those who are driving to the conference.
If you plan to drive and would like to request fuel assistance, please contact Kaite Scott at kscott@hfmich.org.

You can make a difference!

Please consider contributing an amount that is meaningful yet comfortable for you to support this conference. Please note: A donation does not guarantee selection to attend the conference.
HFM relies on generous donations from community members and supporters to make programs like the National Women’s Conference—and many other services—accessible to everyone in the bleeding disorders community. Please consider making a contribution to help provide education, meals, transportation assistance, lodging, and meaningful opportunities for connection among women nationwide. Your support ensures that this empowering conference remains open to all eligible individuals, regardless of financial circumstances.

$250 Programming Champion$150 Education Advocate$100 Community Contributor$50 Butterfly Supporter$25 National Women's Conference AllyOther
Calculation

Payment Information

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Speaker Information Needed:

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Your Feedback

Hotel

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You can make a difference!