VHF Winter Community Event

VHF Winter Community Event

Lewis Ginter Botanical Garden Fest of Lights | Tuesday, December 9th at 6:00 pm
This VHF Community Event is tailored for individuals and families affected by inherited bleeding disorders who are VHF constituents and their family and/or household members.

VHF Behavior and Program Registration Guidelines: Please read VHF's Behavior and Program Registration Guidelines before filling out event registration. If you have any questions, please email info@vahemophilia.org or call 804-740-8643.
I have read both VHF's Behavior Guidelines and Program Registration Guidelines.**

Yes
PHOTO RELEASE: I authorize and permit the Virginia Hemophilia Foundation (VHF) or its authorized agent to use my photograph, voice and/or likeness, with or without my name or the name of the person for whom I am the parent/guardian, in its sole discretion as it sees fit, free and clear of any claim whatsoever on my part, and without compensation.**

I have read and yes I agree.I have read and no I do not agree
Attendee Information

Please fill name and contact information of attendees.
Name*

First NameLast Name
Email Address*
example@example.com
Cell Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Is this your first VHF Event?*

YesNoI don't knowOther
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How did you hear about this event?*
Please list the first and last name of anyone attending with you. If they are kids under 18 please list their age.*
Do you or anyone in your group have any dietary needs and/or restrictions that we should be made aware of? If so please list below, if not, write "N/A"*
Do you or anyone in your group have any mobility needs that will require assistance?**

YesNo
Should be Empty:

VHF Winter Community Event

Attendee Information