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PHA on the Road Registration Form

  1. Step 1 Selection
  2. Step 2 Registration
Saturday October 01
PHA on the Road: Patient and Families Education Forum in Washington, D.C.
Category
Quantity
 
 
Saturday November 19
PHA on the Road: Patient and Families Education Forum in Tampa, Fla.
Category
Quantity
 
 
Make a Gift: While there is no cost to register, please consider donating to help PHA continue to make educational and networking events for patients living with pulmonary hypertension (PH) and their caregivers and families possible. $  
Event registration summary
Washington, D.C.:
Adult Registration
0
Free
Child Registration
0
Free
Tampa, Fla.:
Adult Registration
0
Free
Child Registration
0
Free
Donation:
$0.00
Total:
$

PHA on the Road registrants' photograph authorization:

I hereby authorize the Pulmonary Hypertension Association ("PHA"), and its employees, agents, representatives, volunteers and assigns to photograph, audiotape, and/or videotape (collectively "photographs") me during and at the 2016 PHA on the Road, in Washington D.C. on Oct.1, 2016, and/or Tampa, Fla. on Nov. 19, 2016. I hereby authorize PHA to use said photographs for whatever purpose, including advertising, promotional materials and membership materials such as newsletters and information on the PHA website. I understand that I have not been promised, nor will I receive any monetary compensation for the use of my picture in said photographs. I agree to indemnify and hold PHA harmless for any claims as a result of the use of said photographs.

To opt out of this agreement or if you have any questions, please contact: Meetings@PHAssociation.org

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The information provided on the PHA website is provided for general information only. It is not intended as legal, medical or other professional advice, and should not be relied upon as a substitute for consultations with qualified professionals who are familiar with your individual needs. PHA does not endorse or recommend any commercial products or services.

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NORD

The National Organization for Rare Disorders (NORD) awarded PHA the Abbey S. Meyers Leadership Award in 2012 for outstanding service to PHA members in advocacy, education and other key areas.