2023 BDASC 50th Annual Meeting and HELLO Conference

Personal Information

• * First Name:
• * Last Name:
• * Email Address:
• * Confirm Email Address:
• * Address 1:
• * City:
• * State: --Choose-- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming -------------- Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory
• * ZIP Code:
• Phone:
• * Cell Phone:
• *

  For this event and others, may we contact you with reminders, etc. by text? (if we have a new system in place)

  • Yes, I will like to receive text messages for this and other events of BDASC, thanks!
  • Yes, only for this event please.
  • No, I do not want to receive any text messages please, thanks!

Business Information

• Company:
• Job Title:

Badge Information

• Badge Name:

Participant Information

You may add a maximum of 6

Accommodations

• * Please indicate any food allergies or restrictions in diet and what you would like us to provide as a substitute if available.
• *

  BDSC will provide hotel accommodations on Friday, June 9th for members who must travel over 30 miles to attend this event and plan to stay for the Conference on June 10. If you live over 120 miles one-way, we will also provide a second night stay on Saturday, June 10th while rooms are available. We have a limited amount of rooms on a hotel block for the Sat night. We will do our best to try and accommodate your needs. However, we can only provide one room per family.

  • Please reserve me/us a double/double room for 1 night, June 9th, 20223.
  • Please reserve me/us a king bed room for 1 night, June 9th, 2023.
  • We qualify for an additional night stay if the hotel is available, please reserve June 10, 2023.
  • Thank you, but we do not need any room accommodations.

Event Information Understanding

• * I understand that I must read all the information posted on the annual meeting web-page that is available about this event in the downloadable information and registration forms so I will have all the details of this event, which will help to make it an enjoyable experience. I also understand that while I registered for this event, I am not confirmed for hotel accommodations until I receive a room confirmation letter from the chapter. --Choose-- Yes, thank you, I do understand the above statement and agree. I do not agree with the above and understand that my application may be denied.
• *

  I understand and have read the Photo Release / COVID 19 Mitigation Waiver / and Behavior Requirement and agree to the terms for attending this conference.

  • Yes, I agree and have read the information on the website.
  • No, I do not agree and understand my application may be denied.