Registration is now Closed.

Announcing OHF's 2018 River Float Teen Retreat

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 Thanks to our sponsor:

Thanks to our sponsor:

The following registration is for individuals attending an OHF Teen Leadership Retreat group activity. Each individual attending should fill out their own form.

OHF is proud to sponsor another chance to see the crew!

Save the Date: July 13-15, 2018

OHF is committed to building strong teens and leaders in the bleeding disorders community.

We invite you to come see what it's all about!

Who: anyone age 15-18 (or just graduating high school), affected with a bleeding disorder and their unaffected siblings (or living in the same household)

What: a retreat with river floating/rafting, great food, leadership training, learning, friendship and fun

When: July 13 afternoon, 14, 15 morning, 2018

Where: at Riverside Resort Oklahoma in Tahlequah

Name *
Name
Address *
Address
Phone *
Phone
Do you treat Prophylactically? *
If yes, please explain.
Please list any medication you are taking.
Please list any food allergies.
Parent's Name *
Parent's Name
Parent's Number *
Parent's Number
Emergency Contact *
Emergency Contact
Please list an addition person's name in case of an emergency.
Emergency Contact's Number *
Emergency Contact's Number
Doctor's Name *
Doctor's Name
Doctor's Number *
Doctor's Number
Please include your insurance holder, policy number, and group number
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:
Release and Indemnification *
RELEASE AND INDEMNIFICATION: By registering your child(ren) or yourself for the Oklahoma Hemophilia Foundation Teen Retreat, you hereby assume all of the risks for your child(ren) or yourself of participating in such events and/or activities. Further, you hereby release, indemnify, defend, discharge and hold the Oklahoma Hemophilia Foundation and its Board of Directors, employees, agents and representatives harmless from and against all liabilities, claims, damages, injuries, losses, causes of actions and costs and expenses (including, without limitation, reasonable attorneys’ fees) directly or indirectly arising out of or attributable to your child’s (children’s) or your participation in the above-described events and/or activities. By registering for your child(ren), you hereby acknowledge that you are the parent or legal guardian of the minor child(ren) named in this registration and have the legal authority to execute this release and indemnification on behalf of the child(ren) named in this registration.
For your information, there will not be medical personnel on site to do infusions. If you have a bleeding disorder, please plan to pretreat if that is in your treatment plan and bring extra factor in case there is an emergency. We will contact parents and the HTC in the case of an emergency. *
Clothing guidelines: This is an athletic activity and all participants should choose modest clothing appropriate for outdoor play. Both boys and girls and adults must have clothing that covers their midriff except boys when on/in the water. Water shorts are recommended for girls due to the athletic nature of the event. Running shoes, shoes for in the water, and a hat should be worn. *
Choose a travel option.
Add extra attendees here in addition to special requests or comments.