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Regional Midwest Women’s Retreat

GHA will co-host a Women’s Retreat with Midwest Hemophilia Association, Nebraska Chapter of NHF, and Hemophilia of Iowa, for women 18 and older with a bleeding disorder, carriers, and caregivers of a person with a bleeding disorder. Attendees must be a member and live in GHA’s service area. The retreat is March 20 – 22, 2020 at Honey Creek Resort, Moravia, IA. The focus of the conference will be education, personal growth, and networking. Sessions will focus on bleeding disorders, treatment options and relaxation!

There is a non-refundable $20 registration fee. The deadline for registration and payment is February 15, 2020!

Women's Retreat Registration

Last Name*
First Name*
Date of Birth*
Date Format: MM slash DD slash YYYY
Street Address*
City*
State*
Zip Code*
Email*
Phone Number*
Emergency Contact Name*
Emergency Contact Phone Number*
Emergency Contact Relation*
Type of Community Member (Please check all that apply):**
If selecting more than one choice, hold the Ctrl button while selecting.
Please Indicate Type of Bleeding Disorder*
Are you attending the reception at 6:00 p.m. on Friday, March 20?*
List any dietary needs or special requests.
To serve more women we are asking if you would share a room. If so, please list the name of the person you would share a room with below.
What are 2-3 things you hope to get out of this retreat?