RSVP Form
Tell us whether you’ll be attending and share any details we should know.
Pediatric Epilepsy Conference - Sunday, November 8, 2026 10 am - 1 pm
Location: EPIC Long Island - 1500 Hempstead Turnpike, East Meadow, NY 11554
Your name
*
First Name
Last Name
Email address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How many guests will attend, including you?
*
How did you hear about this conference?
What is your relationship to epilepsy? Are you a parent/caregiver, family member, or professional in the field?
Submit RSVP
Should be Empty: