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Registration for Patient Information Day

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

Basic Information







Event Registration Details

Event Name: Patient Information Day

I am registering as a:

Adult   | Child

        ​If you are under 18th 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:

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