RSVP for Educational Dinner in Roanoke "A Focus on Mental Well-being"

RSVP for Educational Dinner in Roanoke "A Focus on Mental Well-being"

Wednesday, March 25, 2026
This Educational Dinner is tailored for individuals and families affected by inherited bleeding disorders who are constituents and their family and/or household members.

Behavior and Program Registration Guidelines: Please read VABDF/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.
Yes
PHOTO RELEASE: I authorize and permit the Virginia Bleeding Disorders Foundation (VABDF) formerly 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.
Your Name*

First NameLast Name
Email Address*
example@example.com
Cell Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
YesNoI don't knowOther
Physical Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How did you hear about this event?*
Yes.No.
Please type the first and last name (and age if under 18) of everyone that will be attending the educational dinner with you. If you do not have anyone to add please type "N/A"*
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"*
YesNoMaybe
Should be Empty:

RSVP for Educational Dinner in Roanoke "A Focus on Mental Well-being"

Attendee Information