Registration is now OPEN!

The following registration is for individuals attending an OHF Mom's Group activity. Each adult attending should fill out their own form.

M-Powered: Everyday Inspiration by and for Hemophilia Moms

Please join us for a dinner and conversation: 

Who: Mom's impacted by bleeding disorders

Where: Fairfield Inn-Edmond, 301 Meline Dr. Edmond OK

When: Tues. March 13, 2018 6:30 - 8:00 pm

Contact: Kathleen Montgomery kmontgomery@okhemophilia.org

Thanks for our sponsors:

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Name *
Name
Address *
Address
Phone *
Phone
Add extra attendees here in addition to special requests or comments.
Please list any food allergies.
I grant to the Oklahoma Hemophilia Foundation (OHF), its representatives and employees the right to take photographs of me and my property in connection with the above-identified subject. I authorize OHF, its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that OHF may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content. I have read and understand the above: