Clone of CSL Behring Junior National Championship 2026 Interest Application

We are excited to continue the involvement from members of the Nebraska Chapter in the Junior National Championship from CSL Behring.

Participants will have the opportunity to learn the fundamentals of their respective sport, participate in friendly competition, and have a chance to connect with fellow members of the bleeding disorders community from across the country. Additionally, educational seminars focusing on the importance of physical fitness and other related topics will be available on site.

During the program participants will have the opportunity to:

Participate in baseball, basketball, golf, or swimming activities to learn the fundamentals and enhance their skills in that sport.
Learn about the importance of physical fitness in managing a bleeding disorder and receive instructions on proper stretching techniques and good athletic form.
Show off their golf, swimming, basketball or baseball abilities in a national competition with fellow participants from around the country.
Connect and build relationships with fellow members of the bleeding disorders community by sharing their personal experiences with one another.

The event takes place April 30 - May 2 in Henderson, NV.

CSL Behring will pay for two youth participants (7-18 years of age) with a bleeding disorder and a parent/guardian each to attend the program.

To be considered for this opportunity, please fill out this form, and register one (parent/guardian) and one (child 18 and under who is diagnosed with a bleeding disorder) that will be attending if selected.

This is open to all Nebraska Chapter members residing in the state of Nebraska.

Only one entry per individual.

The selected adults and youths will be provided with airfare & transportation to the Junior National Championship, along with hotel accommodations and select meals.

The nominees will be randomly chosen from the completed interest forms and notified by XXXXXX. Preference will be given to individuals who have not participated in JNC previously.

Once participants have been confirmed, travel and lodging details will be provided to the selected participants.

This event is not sponsored or coordinated by the Nebraska Chapter of the National Bleeding Disorders Foundation.

Contact: Jacob Murdock, Chapter Executive Director

646-901-6442 or jmurdock@bleeding.org

Adult Full Name

First NameLast Name

Address:

Adult's T-shirt Size

Adult's Cell Phone Number

Area CodePhone Number

Adult's Email Address

Selected recipient will be notified via this email

Child Full Name

First NameLast Name

Child's Birthdate

mm/dd/yyyy

Child's T-shirt Size

Child's sport preference

Will you need CSL to provide equipment or will you bring your own?

Is the child a patient of the Nebraska HTC?

By typing your name you are affirming that this child does have a bleeding disorder diagnosis.

Has this child or another dependent attended JNC in the past?

CSL Behring & the Junior National Championship encourages all attendees to take a COVID test before attending the event. Attendees who are not feeling well should not attend the event. Please initial that you understand that the Nebraska Chapter is not responsible for any attendee being exposed to COVID.

If selected, we will be able to attend the entire Junior National Championship event from 4/30 - 5/2 in Henderson, NV.

CSL Behring Junior National Championship Interest Form

Please make sure to select "submit form" to submit interest in the Junior National Championship.