Patient & Family Registration 7th CURED Patient Education Research Conference Registration for Patients & Families April 4-7, 2024 Sessions "*" indicates required fields Name*This will be the name you will give to the registration desk. First Last Suffix Additional AttendeesEnter N/A if there are no additional attendees.NameAge (if child) Add RemoveAddress* Street Address Address Line 2 City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Please provide a number that you will be reachable at during your attendance to the CURED conference.Email*Please provide an email that CURED will be able to communicate with you about all CURED Conference materials. Friday, Saturday, Sunday Attendees With Meal PlanMeal plan includes breakfast, Friday, Saturday and Sunday and lunch Friday and Saturday. Child prices also cover your childcare during the CURED Conference. All attendees will be served a regular meal unless Gluten Free is selected below.Adult weekend attendeesTeen weekend attendeesChild weekend attendeesSelect all attendees who would like the meal plan Adults $95 Teens $75 Children $60 # Adults# Teens# ChildrenGluten Free Meals (Adults)Gluten Free Meals (Teens)Gluten Free Meals (Children)Friday, Saturday, Sunday Attendees NO Meal PlanBreakfast and lunch during the conference are not included. You are welcome to bring a safe meal. Child prices cover your childcare during the CURED Conference. Teen attendees no meals pricingAdult attendees no meals pricingChild attendees no meals pricingSelect all attendees who would NOT like the meal plan Adults $85 Teens $65 Children $50 # Adults (no meals)# Teens (no meals)# Children (no meals)Thursday, April 4, 2024 Special Session ONLYThis segment of the conference is tailored specifically for research and clinical professionals. Patient families are welcome to attend but expect presentations to be geared towards a scientific audience. Child care services WILL NOT be offered on Thursday April 4, 2024 and children under age 14 will NOT BE allowed inside the auditorium. Please make plans accordingly. The healthcare providers and researchers participating in the conference are committed to the highest standards of safe and ethical care and so are not able to engage in individual consultations or to answer specific questions about the diagnosis or treatment of individual patients at this conference. Thank you for understanding.Thursday attendee with mealThursday attendee NO mealPlease select for Thursday ONLY Attendees with meal $50 Attendees no meal $40 # Thursday Attendees with meal# Thursday Attendees NO mealI am sorry I unable to attend but I would like to attend virtuallyChoosing this option will allow you to view the conference in Real-Time (EST) and you will receive the recording post the event. *Links are not shareable*Virtual Attendeesnone1 url for viewing - $852 urls for viewing - $1703 urls for viewing - $255CURED Awareness Apparel (Photo is on the Conference webpage)Pre-Order your CURED T-Shirts for $15/Each $20/Each Extended Size Hoodies for $35/Each $40/Each Extended Sizes. These will be available for pickup at Registration. *Apparel will be available for purchase at the conference for $20 Each T-Shirt $25 Each Extended Sizes and Hoodies $40/Each and $45/Each Extended Sizes* CURED University T-shrit Fighting for a CURE T-shrit Just CURE It T-shirt CURED University Hoodie Fighting for a Cure Hoodie Just CURE It HoodieT-Shirt – S, M, L Quantity Price: $15.00 Quantity T-Shirt – XL, XXL, XXXL Quantity Price: $20.00 Quantity Hoodie Regular Sizes Quantity Price: $35.00 Quantity Hoodie Extended Sizes Quantity Price: $40.00 Quantity Please list your apparel styles and sizes belowStyle nameSizeQuantity Add RemoveDonationsDonationsOptional additional donation to CURED to support medical research for eosinophilic diseases. Total Payment MethodCredit CardPayPal Checkout American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name