You don’t want to miss Springfield Education Day!!

We have a great day planned for all ages including a group activity at Wonders of Wildlife Aquarium following the education programs.

Registered attendees will enjoy exhibit bingo (there will be a prize), a delicious lunch, interactive education sessions, and time to connect with your local MHA family! (All registrants must attend education sessions to receive WOW Tickets)

Open to all ages and diagnosis, this day program is for everyone in our coverage area!

Registration closes Monday, November 4th!

Springfield Education Day 2024

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
Number of adults and/or children in your party who will play in the golf bays (please only include those who will participate in the tee boxes; recommended age 3 years+)*
Are you employed by a specialty pharmacy or product manufacturer?*
- No, I am not employed by a specialty or product manufacturer. .
- Yes, I am employed by a specialty pharmacy or product manufacturer.
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.
- Yes I DO consent to the use of pictures of videos.
- No I do NOT consent to the use of pictures of videos.