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

2 Ways to Register:

  • Online:  Select your registration option 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: Registration
    PO Box 3856
    Glendale, CA 91221

Directions for completing the Registration:

  • Please select which days you will be attending the seminar. If both days, please select both Friday and Saturday.
  • The minimum amount suggested is for both days. Doesn't matter if you attend one day or both days, the minimum amount suggested is required. Should you have difficulty paying the minimum amount suggested, feel free to contact info@cayennewellness.org and we will reduce the fee to what you are able to afford.
  • You will still need to complete a registration form and either email (info@cayennewellness.org), fax (818 840 9485) or mail (Cayenne Wellness Center, Attn: Registration, PO Box 3856, Glendale, CA 91221) the form.

Once you have registered, we suggest you book your hotel reservations early (see the Hotel Reservation Form online at www.cayennewelllness.org). Discount pricing is available only till August 10, 2017.

Registration

Individuals
Person diagnosed with Sickle Cell Disease c register
(Recommended amount $50. Minimum amount $2 for both days)
PLEASE NOTE:  If you are registering as a patient with Sickle Cell Disease, your registration is not considered complete until you fill out and send back the completed Health Emergency Form. Click here to download the form.  
Caregiver (person that takes care of a patient diagnosed with Sickle Cell Disease) register
(Recommended amount $50. Minimum amount $10 for both days)
Lay person interested in Sickle Cell Disease
(teacher, sickle cell educator, student with valid ID)
register
(Recommended amount $60. Minimum amount $15 for both days)
Healthcare Practioners:
Nurse (Registered, Practitioner, etc) a register
($80 for both days and includes Continuing Education Credits)
Medical Doctor b register
($100 for both days and includes Continuing Education Credits)
Donation Requested $
Our goal is to be able to provide every person diagnosed with Sickle Cell Disease an opportunity to attend this annual event at no cost. We hope you will consider adding to your registration fee a donation amount that will help offset overall event costs.
 
a CEU Credits will be available. Number of units will be known as we get closer to the event date.
b CME Credits will be available. Number of units will be known as we get closer to the event date.
c A Health Emergency Form is required to complete registration. If sending your form via mail, please download the form and mail along with your registration. Click here to download the form.
   
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.

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