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Registration for Taking AIM at Cardiac Rhythm Disorders - "AIM" for Awareness, Information, and Making a Difference

Please fill out the form below to register for our event.

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Event Registration Details


Event Name: Taking AIM at Cardiac Rhythm Disorders - "AIM" for Awareness, Information, and Making a Difference

I am registering as a:

Adult   | Child


       Regular Price is $125 per adult and $50 per child.
       Save by registering now for the Early Bird Prices.


        ​If you are registering for the Children's program, please tell us how old you are?


        Are you affected by a SADS Condition?

Yes   | No


        SADS Condition has been diagnosed in your family? (optional)

Early Bird Price:
$125.00 $50.00




   

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