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Midwest FACES Registration Form

Saturday, June 9 & Sunday, June 10, 2018


Please join us for the Midwest Food Allergy Conference for Education and Science (FACES). This conference will bring together food allergy families, clinicians, researchers and experts throughout the Midwest region for the latest research on the state of food allergy and new advancements in treatments, prevention and daily living.


Name*
Will you be joining us on both days?*

Please note that attendees must be age 9 or older. Aside from breadth/complexity of content, it is because the day features a kid-only track and they will be physically separated from their parents. However, parents with kids of all ages are welcome and encouraged to personally attend.

Name of 1st family member*
Name of 2nd family member*
Name of 3rd family member*
Name of 4th family member
Name of 5th family member
Will you need to book a hotel room?*
Room blocks will be available at Cambria and Residence Inn. Please check our website, midwestfaces.com, for reservation information, which will be added shortly.
Hotel Days*
Evening Social Event*
An evening social event is planned for Saturday, June 9. If you are interested, please select "Yes" above and we will send you details as soon as they become available.
Travel Grant
Is cost prohibiting you from attending this conference? We are offering travel grants to up to 20 out-of-town families. Please contact us confidentially at stacey.sturner@northwestern.edu.
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