November 6th, 2021 10:00am-2:00pm

Bring the family to connect with your local bleeding disorder community. HFA will present, “Bleeding Disorders Trivia” a fun, interactive program for everyone. We will also play some GooseChase to win prizes & interact with exhibits & sponsors.

Lunch and activities for kids provided. Local/area residents who attend in person or virtually, will receive Discovery Center Tickets while supplies last. Must attend all sessions (in-person or virtually). Immediate family members only.

Registration deadline is October 31st midnight! (All local health guidelines will be followed)

Springfield Education Day 2021

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
Please check box if you plan to join us for lunch.
- Please include us in the lunch count.
Discovery Center Tickets
*Must live in the Springfield surrounding area.
- Please include us when purchasing the Discovery Center tickets.
How will you be attending?*
If online you will receive an Zoom Meeting Invite prior to the event start with the link provided to login.
- In Person
- Online
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.

Springfield Education Day 2021

November 6th, 2021 10:00am-2:00pm

Springfield Education Day 2021

Thank You to our Presenting Sponsor:

Thank You to the following Partner Sponsors:

First Name	Last Name	Date of Birth	Diagnosis

First Name	Last Name	Date of Birth	Diagnosis