Prader-Willi Syndrome:  Building a Community of Supports

Keynote Speaker Linda M. Gourash, MD
Friday June 16, 2017 at the Sheraton Albuquerque Uptown


Please complete this form as accurately as possible. Fields marked with an asterisk (*) are required. After you complete and submit the form, you will be directed to a payment page to pay via PayPal. You do not need a PayPal account to make a payment.


 

REGISTRANT INFORMATION


 
Please fill out ALL FIELDS. If you do not have an apartment or suite number, please place a 0 in the field.
Please help us understand a little more about you. If you are a parent or non-professional care provider, please state your relationship here (mother, father, friend...)
If you would like to receive Seven CNEs please select below:

CONFERENCE MEAL SELECTION


A Breakfast Buffet, Coffee, Tea and fruit infused water will be available starting at 8:30am.

TERMS & AGREEMENTS


Each participant must register as a participant in this conference separately. Register by May 22nd, 2017 to receive the EARLY BIRD RATE of $125.00! After May 22nd, 2017, the cost of registration increases to $150.00. Registration forms must be complete and must be received by June 5th, 2017. There is a $50 administrative fee for all refunds.  Requests for a refund must be submitted in writing via email to Penny Chavez:  pchavez@arcaspirit.org by June 9th, 2017.  No refunds are available after June 9th.
We may be videotaping and photographing portions of the conference. The images may be used by ARCA in various informational literature. Permission to photograph, and waiving of any rights to compensation, is assumed unless indicated here.
If you have any PWS related questions, please feel free to type them below. We will have a Q&A at the end of each session of the conference to answer as many questions as we can. Thanks!