BLOOM 2024

Name: BLOOM 2024 — Oklahoma Hemophilia Foundation
Start: 2024-09-20T16:00:00-0500
End: 2024-09-20T22:00:00-0500

Friday, September 20, 2024
4:00 PM 10:00 PM 16:00 22:00

Google Calendar ICS

BLOOM 2024 Registration

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Name(s), Number, & Age of Attendees

Please include first name, last name, and age of attendees (12 years & older)

Indentification

Choose any description that applies to you or your family members. Choose all the apply

Affected

Symptomatic Carrier

Caregiver

Spouse

Sibling

Food Sensitivities & Allergies

Emergency Contact Information

First Name

Last Name

Phone

(###)

###

####

Photo Release

I grant to the Oklahoma Hemophilia Foundation (OHF), its representatives and employees the right to take photographs of me and my property in connection with the above-identified subject. I authorize OHF, its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that OHF may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content. I have read and understand the above:

Yes, I agree

Release & Indemnification*

By registering yourself or your child(ren) for BLOOM on September 20, 2024 in Newcastle, Oklahoma, you hereby assume all of the risks for yourself and/or your child(ren) of participating in such events and/or activities. Further, you hereby release, indemnify, defend, discharge and hold the Oklahoma Hemophilia Foundation and its Board of Directors, employees, agents and representatives harmless from and against all liabilities, claims, damages, injuries, losses, causes of actions and costs and expenses (including, without limitation, reasonable attorneys’ fees) directly or indirectly arising out of or attributable to your or your child’s (children ’s) participation in the above-described events and/or activities. By registering for you or your child(ren), you hereby acknowledge that you are the parent or legal guardian of the minor child(ren) named in this registration and have the legal authority to execute this release and indemnification on behalf of the child(ren) named in this registration.

I Agree. Please Register

Request for lodging

I live more than 100 miles from the venue and request lodging