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 (firstname.lastname@example.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.
Charter Bus Registration