InhibitCon NOLA 2026 Registration
  • InhibitCon NOLA 2026 Registration

    Scheduled: Sept. 11-13, 2026. Leverage and Inhibitor Family Camp: Sept 10-13. Sign up below to apply for this event. Location: New Orleans, LA
  • Please read this page before proceeding to the application process

    Leverage portion begins Thursday Sept. 10th, 2026. Select below if you would like to apply for a spot. Please note that space is limited and not guaranteed upon application completion. 18+ Applicants Only. 

    Inhibitor Family Camp begins Thursday Sept. 10th, 2026. Select below if you would like attend the camp themed pre-conference with your family.

    Participation & Attendance at all activities (barring medical issue) is MANDATORY

    Leverage will consist of:

    🟠 Guest Arrivals Thursday Sept 10 ideally between 2-4pm
    🟠 5pm Introduction Activity Prior to Dinner
    🟠 6pm Offsite Dinner at a local New Orleans establishment (TBA)
    🟠 Breakfast Friday Morning followed by a half day of activities till around 2pm. Lunch will be included.
    🟠 The full InhibitCon Kicks Off at 4pm on Friday Sept 11th.

    Inhibitor Family Camp will consist of:

    🟣 Family Arrivals Thursday Sept 10 ideally between 2-4pm
    🟣 "Camp" kick-off at 5pm
    🟣 6pm Family Dinner with Camp Staff
    🟣 Lego-Mania activity after dinner to wrap the evening
    🟣 Breakfast Friday morning followed by camp themed activities with a group swim time leading up to kick-off (4pm)

     

    With our current funding we can offer travel scholarships for attendance in the following manner:

    • Adults managing an active inhibitor to their primary treatment product AND
      A caregiver in the form of a family member, spouse or significant other. 

    • A minor under the age of 18 with an active inhibitor and their family (One Household) Max of 6 individuals per family attendance. 

     

    An Inhibitor Verification Form will be required from your provider for new attendees.

    If you completed the verification form in the past you DO NOT need to do this again.

     

    The following conditions qualify for eligible attendance: 

    • Adults and Children with an inhibitor (Positive BU greater than or equal to 0.6 in the last 5 years), OR
    • Adults and Children with evidence of a lifelong* or transient* inhibitor that require use of a bi-specific antibody product, a bypassing agent (ie. FEIBA/FVII), a rebalancing agent and/or high/continuous replacement factor to manage the inhibitor and bleeding effectively

    *Those who have not successfully tolerized with ITI/ITT and cannot administer a traditional factor replacement product OR discontinue a current product without inhibitor reemergence, regardless of BU level.

    Estimated completion time: Approx. ~15 minutes 

  • I have read through the introduction to this application and understand the criteria to attend, that the information I provide is up to date and not falsified and that attending is a privilege and commitment.*
  • Affected Persons Date of Birth*
     - -

  • Format: (000) 000-0000.
  • Medical Information

    Please complete this PATIENT section for verification purposes
  • What type of bleeding disorder does the patient have?*
  • Patient has an anaphylactic reaction to clotting factor*
  • Date of above drawn titer:*
     - -
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • How did you hear about this program? (check all that apply)*
  • Please Select Your Desired Attendance:*
  • Date of Birth For Additional Guest*
     - -
  • Parent/Guardian DOB*
     - -
  • Relationship to Patient above:*
  • Does this Parent/guardian have a bleeding disorder?*
  • Bleeding Disorder of parent/guardian:*
  • Family Guests Continued - Select ALL that apply*
  • Additional Parent/Guardian DOB*
     - -
  • Relationship to Patient above:*
  • Does this Parent/Guardian have a bleeding disorder?*
  • Parent/Guardian bleeding disorder:*
  • DOB of Immediate Family Member*
     - -
  • Does this Additional Immediate Family Member have a bleeding disorder?*
  • Additional Immediate Family Member Bleeding Disorder:*
  • DOB of Immediate Family Member*
     - -
  • Does this Additional Immediate Family Member have a bleeding disorder?*
  • Additional Immediate Family Member Bleeding Disorder:*
  • DOB of Immediate Family Member*
     - -
  • Does this Additional Immediate Family Member have a bleeding disorder?*
  • Additional Immediate Family Member Bleeding Disorder:*
  • Allow us to communicate with your HTC/Hematologist for the purpose of facilitating (and expediting) registration?*
  • Allow us to communicate with ALTOUR (Previously Travel Leaders) regarding flights (if applicable)*
  • Are you within driving range of New Orleans, LA and would you drive to the event? Reimbursement of $0.725/Mile*
  • Confidentiality Agreement

    CHES Foundation (a 501c3 organized and existing out of the State of Massachusetts and all of its affiliates used to facilitate the program) shall be referred to in this agreement as “CHES”.  I, (Participant) acknowledge and agree by signing and initialing that:

    I have come to InhibitCon to learn and to share information about bleeding disorders, and in that spirit, I recognize that there may be discussions that are personal in nature (e.g., specifics relating to a patient’s condition). I will keep anything that I hear confidential and will not discuss it outside of the meeting.


    If, along with being a person with a bleeding disorder, caregiver, family member, or healthcare provider I have a commercial interest in the supply of products (e.g., am employed by a home care company or similar organization) or services related to patient care, I agree to:

     Respect the confidentiality of the consumer participants and will not promote my company’s/organization’s products or services now or in the future. My relationships will be strictly as consumer to consumer.

     I will not steer conversation in the direction of bleeding disorders business. If I am asked directly about my company’s products or services, I will notify CHES staff immediately about this inquiry. In the event, I am directly solicited to outside of exhibit hours, I will notify CHES staff immediately about this solicitation.

     In attending this meeting, I recognize that information regarding my disease-state may be made available to other participants. This information will not be used in a commercial manner by CHES (or their agents) without my expressed permission.

     I understand I may be asked to cease from participation of InhibitCon if I do not honor the Confidentiality Statement in its entirety.

     

    Release of Images

    I hereby authorize representatives of CHES to photograph, or video record images of all accompanying family members and myself.

    I also agree that the program and persons may use, and permit other persons to use the negatives, prints, digital photos, or video prepared in such a manner as either may deem appropriate. I grant CHES the absolute right and permission to copyright and/or use pictures of us in which they may be included in whole or in part, in advertising, business, or trade or any other lawful purpose whatsoever including publication to the CHES websites and marketing materials.

    The term "photograph" as used in the foregoing agreement, shall mean motion picture or still photography in any format, as well as videotape, videodisc and any other mechanical means of recording and reproducing images. I have entered into this agreement willfully and hereby waive any right to compensation for such uses by reason of the foregoing authorizations.
     
     
    Acknowledgment and Assumption of Risks

    Understanding the nature of the activities and their risks, and that other risks may be encountered which
    cannot be reasonably anticipated, I acknowledge and expressly assume all risks of CHES Foundation activities, whether or not described in this agreement, known or unknown and inherent or not. I take full responsibility for any injury or loss, including death, which I or my minor child(ren) may suffer, arising in whole or part out of my enrollment or participation in the activities of a CHES Foundation program.
     
    Release and Indemnity


    If I am an adult Participant, and/or the guardian/parent of a minor child, I hereby agree, for myself and child(ren), TO RELEASE, INDEMNIFY (that is, defend, protect and pay claims, including costs and attorneys’ fees), AND HOLD HARMLESS CHES, their owners, officers, partners, agents, and employees, (“Released Parties”), with respect to any and all claims of injury, disability, death, or other loss or damage to person or property suffered by me, by any member of my family, rescuers, co-participants, or any other person, arising in whole or part from my participation in CHES program activities or any related activity, WHETHER ARISING FROM THE NEGLIGENCE OF A RELEASED PARTY OR OTHERWISE, and to the fullest extent permitted by law.
     
    Additional Provisions

    I, an adult Participant, and/or the guardian/parent of a minor child, authorize CHES Foundation to provide or obtain for me and/or my child(ren) such medical care as it considers necessary and appropriate, and I agree to pay all costs associated with such care and related transportation. CHES Foundation and any third-party medical caregiver are authorized to exchange medical information concerning my, or the minor’s, medical condition. Any dispute between a Released Party and Parent or Participant will be governed by the substantive laws of the State of Massachusetts only.  If the dispute cannot be resolved by mutual agreement, I agree to submit it to an arbitrator recognized by the Courts of that State and County. I will pay all costs and attorney's fees incurred by any Released Party in defending a claim or suit brought by me if the claim or suit is withdrawn or to the extent a court or arbitrator determines that the Released Party is not responsible for the claimed injury or loss.
    This agreement is entered into voluntarily, and after careful consideration. Its terms cannot be supplemented or amended except in writing. I understand and agree that it is binding, to the fullest extent allowed by law, upon all persons signing below, their respective heirs, executors, administrators, wards, minor children (whether or not they are Participants) and other family members. If any part of this agreement is found by a Court or other appropriate authority to be invalid, the remainder of this agreement nevertheless shall be in full force and effect.
     

  • By submitting this form, you are agreeing to receive periodic mailings about CHES Foundation programs that are relevant to your medical condition. If you wish to unsubscribe or edit your preferences, you may visit https://ches.education/communications-profile-form
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