Cayenne Wellness logo

9th Annual SCD Educational Seminar: A Race For The Cure
Charter Bus Registration Form

2 Ways to Register:

  • Online:  Select your registration options below and you will be taken to the Cayenne Wellness Center PayPal payment page to pay via credit card or your PayPal account.
  • Mail : Click here for registration form. Complete form and mail with payment to:
    Cayenne Wellness Center
    Attn: Charter Bus Registration
    PO Box 3856
    Glendale, CA 91221

Directions for completing the Charter Bus Registration Form:

  • Please check which location you will be boarding the bus. Lunch will be provided on the way to Fresno only.
  • Option 1:  Persons diagnosed with Sickle Cell Disease are allowed to be accompanied by a caregiver. Please list the caregivers name.
  • Option 2:  Caregivers not accompanying a person diagnosed with Sickle Cell Disease must list the patient they care for (patient must be in our database) in order to get discounted rate.
  • Options 3:  Persons that are not patients diagnosed with Sickle Cell Disease or are not Caregivers, must pay full price to board the charter bus.
  • You will need to fill out the charter bus registration form either online or use the fillable registration form and email (info@cayennewellness.org), fax (818 840 9485) or mail (Cayenne Wellness Center, Attn: Charter Bus Registration, PO Box 3856, Glendale, CA 91221) the form.

Once you have registered to be on the charter bus, we suggest you register online to attend the seminar and book your hotel reservations early (see the Hotel Reservation Form online at www.cayennewelllness.org). Discount pricing is available only till August 10, 2017.

Bus Schedule:

Bus will depart on Thursday, September 7, 2017 at:
•   12:30 pm from Ontario/Loma Linda (Address is: Starbucks, 1041 N Milliken Ave, Ontario, CA 91764)
•   2:00 pm from Los Angeles (Address is:
LAC + USC Medical, 1983 Marengo St, Los Angeles, CA 90033)
•   3:45 pm from Antelope Valley Hospital (Address is: 1600 W. Avenue J, Lancaster, CA 93534)
Bus will depart from Fresno on Sunday, September 10th at 12:30 pm and will arrive:
•   4:30 pm to AV Hospital
•   6:00 pm to Los Angeles
•   7:30 pm to Loma Linda

Charter Bus Registration

Option 1:
Person diagnosed with Sickle Cell Disease with (optional accompanying Caregiver)
(Patient only - $5.00 / Patient & Caregiver $10.00)
Patient Name:
* First Name*:   Last Name*:  
Email*:    
Phone*:    
Boarding Location*:  
Name of Accompanying Caregiver:    
Charter Bus Registration for*:    
Need Hotel Registration?*:    
* Required Information
Option 2:
Caregiver (person that takes care of a patient diagnosed with Sickle Cell Disease traveling without SCD Patient. Note: (patient must be in our database) register
(Cost: $5.00)
Option 3:
I am not a person diagnosed with SCD or a caregiver. I would like to travel via charter bus. register
(Cost: $75.00)
 
   
Disclaimer:  Please make sure to maintain a professional etiquette during the seminar at all times. Dress code is business casual (be prepared for cooler temperatures indoor. OK to bring your own heating blanket). Plan ahead with what you need to stay healthy and in touch (bring power cords for your devices, medications, business cards, snacks). As for medications, though California it is legal to have medical marijuana, please note that there is no smoking or vaping in or around the seminar site and there is no smoking or vaping in or around the hotel premises.

top of page