When

Friday, August 24, 2018 at 5:00 PM CDT
-to-
Saturday, August 25, 2018 at 4:30 PM CDT

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Where

Embassy Suites

101 East Locust Street
Des Moines, IA 50309

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Contact

Hanna Beary
Hemophilia of Iowa
3193934007
h.beary@hemophiliaofiowa.org

Healthy and Active Living Canoe Trip

Inviting all teens to join us for the Teen Track during the 2018 Annual Meeting. We will be discovering what healthy foods do to joints and why it is so important to stay active in fun and exciting ways! The group will go off site to stay in cabins while enjoying a Chop Chef Challenge Friday night and canoeing down Raccoon River Saturday.

* Required information

Teen Qualifying Question

  • Teen/Young Adult Retreat Qualifying factors: Teen/Young Adult within the immediate family must have a bleeding disorder or be a Teen/Young adult who is a sibling of someone with a bleeding disorder. Having a bleeding disorders is defined as follows: Someone diagnosed with and treated for a bleeding disorder who has a treatment plan and that plan is then followed for bleeding episodes. This plan would be written by a Hemophilia Treatment Center (HTC) or a physician who specializes in hematology not part of the HTC.

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  • HOI service area is defined as someone who resides in the state of Iowa and has a bleeding disorder or lives outside of the state of Iowa but receives care at the UIHC Hemophilia Treatment Center.

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Hemophilia of Iowa Membership

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  • If yes, please proceed with registration. If no, please STOP and go to www.hemophiliaofiowa.org and become a member and then return to complete the registration process. NOTE: Registration is limited! Membership is a condition of registration, so you must be a member before you can register your child for this retreat. If there is a hardship with the fee, please call HOI at 319-393-4007 for confidential financial assistance.

Parent Information

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  • IMPORTANT NOTE: ONLY REQUIRED TO PAY THE $10 IF FAMILY IS NOT ATTENDING THE ANNUAL MEETING.

  • Fee

    Type Fee
    $10.00
    No Charge

Teen/Young Adult Information

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    Attendee Gender:

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    I acknowledge I have read and agree to the above photo release and content information. (If I donít agree to this I will contact HOI immediately to discuss)

  • PHOTO RELEASE---I hereby grant to Hemophilia of Iowa, Inc., the right to use quotations from me and/or my minor child on Internet Web sites and other publications; to photograph, film, videotape, and record me and/or my minor child; and to use and reproduce such quotations, photographs, film, videotapes, and recordings, assigning all rights in such quotations, photographs, film, videotapes, and recordings, to Hemophilia of Iowa, Inc. I hereby waive any claims I might have against Hemophilia of Iowa, Inc. of any kind whatsoever arising out of the photographing, filming, videotaping, or recording or use or reproduction of the quotations, photographs, films, videotapes, and recordings.

  • Please list any allergies or food restrictions:

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$9,999.99

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