Join Us at the Females and Bleeding Women’s Midwest Retreat 2023

Females and Bleeding Women’s Retreat 2023

October 13 – 15, 2023
Margaritaville Lake Resort | Lake Ozark, MO

Join us at the Females and Bleeding (F.A.B.) Women’s Retreat 2023 with the Gateway Hemophilia Association, Midwest Hemophilia Association, Nebraska Chapter of the National Hemophilia Foundation (NHF), and Bleeding Disorders of the Heartland.

Sponsored by Octapharma USA as part of the Factor My Way patient support program, this weekend is for women 18 years and older who are affected by a bleeding disorder in the following ways: 1) diagnosed with a bleeding disorder OR 2) a carrier of a bleeding disorder OR 3) a spouse of someone with a bleeding disorder OR 4) a parent or legal guardian of someone with a bleeding disorder. To attend, registrants must live within the Gateway Hemophilia Association, Midwest Hemophilia Association, Nebraska Chapter of NHF, or Bleeding Disorders of the Heartland geographic coverage areas.

This year’s F.A.B. Women's Retreat will be in person at the Margaritaville Lake Resort. The focus will be education, personal growth, and networking. We have a great line-up of speakers and activities planned!

Your non-refundable $20 registration fee includes your room, meals during the conference, and conference materials. The registration fee will be collected by your affiliated organization. The deadline for registration and payment is SEPTEMBER 9, 2023.

Register Now!

All adults in the household must register separately. If attendee is 18 years or older then they must complete their own registration.

*Required fields

First Name:

Last Name:

Email:

Confirm Email:

Phone Number:

Date of Birth:

Address 1:

Address 2:

City:

State:

Zip:

Chapter Affiliation

Type of Community Member (check all that apply):

Person with a bleeding disorder

Spouse of someone with a bleeding disorder

Parent or legal guardian of someone with a bleeding disorder

HTC staff

Other, please specify

If Other, please specify

Type of Bleeding Disorder:

If Other, please specify

Are you employed by a Specialty Pharmacy or Pharmaceutical Company that serves bleeding disorder patients?

Yes

No

If Yes, please specify:

Have you attended a previous F.A.B. Women’s Retreat?

Yes

No, this is my first F.A.B. Women’s Retreat

If Yes, please specify which year(s)

I will need lodging for:

Both Friday and Saturday nights (October 13 and 14)

Friday night, only (October 13)

If you select both Friday and Saturday nights and don’t stay both Friday and Saturday nights you will be charged for the night you do not stay.

If you are willing to share a room, please provide the name of the person(s). (Sharing a room allows us to bring more women to participate!)

List any dietary restrictions (vegetarian, specific allergies, etc.)?

Special Requests:

Wheelchair-Accessible Room

Ground Floor Room

Other, please specify

If Other, please specify

I acknowledge that I am expected to attend the educational programming on Saturday and Sunday. If I am unable to attend, I will let an executive director know immediately. If I do not attend, I understand I may be charged for the hotel room.

What is a topic(s) that you would like discussed at this retreat?

Payment:

Please note that $20 per person attending registration fee will be collected by your affiliated organization.

Release Waiver:

I hereby grant the release of any film, video, or other photographic images of the members of my family for use by the sponsoring organizations/Octapharma for fundraising, educational or other purposes. I understand I and my family will not be compensated for any such use.

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