Community Outreach Program: Overland Park

FACTOR in the Family

Regardless of your gender, getting the right diagnosis and treatment for a bleeding disorder can be an uphill battle. Join us to learn and discuss some of the unique challenges women may face in seeking a diagnosis, where to turn for help, and how all community members can advocate for the women in their lives.

Kerri Borgese, nurse, athlete, and advocate living with Type 3 von Willebrand disease will share her personal story and the challenges she has overcome in her treatment.

Stormy Johnson, mother, sister, and advocate living with hemophilia B will also share her personal journey advocating for her own diagnosis, but also others.

Space is limited to the first 50 registratantions. Once we are at capacity, a waitlist will be started. If an opening becomes available, those on the wait list will be notified in order the registrations were received.

Registration closes July 11th.

July 19th Community Outreach Registration

Adults Attending:*
Click the PLUS sign next to the box to add more. Diagnosis examples: Hemophilia A, Hemophilia B, von Willibrands, Carrier, Other, N/A
First Name Last Name Date of Birth Diagnosis
Kids attending:
Click the PLUS sign next to the box to add more. Diagnosis examples: Hemophilia A, Hemophilia B, von Willibrands, Carrier, Other, N/A
First Name Last Name Date of Birth Diagnosis
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email
Photo Consent Opt Out -From time to time, the Midwest Hemophilia Association (MHA) will want to use pictures and/or videos from our events to promote bleeding disorder programs and MHA's activities. Please check the box below if you would NOT like to grant permission to be able to use your image or those who have registered for that purpose.
- No I do NOT consent to the use of pictures of videos.

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Date
Date(s) - July 19 2022 at 6:00 PM - 8:00 PM

Location
Chicken N' Pickle

Category(ies)

Education

First Name	Last Name	Date of Birth	Diagnosis

First Name	Last Name	Date of Birth	Diagnosis