2027 Rare Kidneys On The Hill Day Interest Form
Please fill out the form to show your interest in NephCure's Hill Day in 2027. This is not a registration form and will not count as a registration for Hill Day.
First Name
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Last Name
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Email
*
example@example.com
Who Are You?
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Patient
Patient Parent / Caregiver
Friend/Family
Health Care Provider
Industry Partner
Are you interested in taking part in NephCure's Hill Day in 2027?
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Please Select
Yes
No
Tentative
What potential challenges or situations would prevent you from attending?
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Cost of travel/attendance to be present
Conflicting work/life schedules or overlapping personal commitments
Information gaps, or not enough information about event details
Health needs, conflicting schedule with necessary treatments or medications
Other
Are you comfortable with NephCure contacting you regarding 2027's Hill Day, including when registration opens, travel assistance, or other advocacy-related emails or SMS that may be of interest to you?
*
Please Select
Yes
No
Submit
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