LuMind Research Rally RSVP | National Down Syndrome Congress

LuMind Research Rally 2019 - RSVP

Completion of this form is required to RSVP for the LuMind Research Rally. The primary registrant may register more than one family member living at the same address with this form. Separate forms are needed for individuals residing at a different address.

NDSC Convention Registration Number*
This number can be found at the top of your registration confirmation page. It begins with CONV2019-#####.
Name*
First Last
Email*
Provide the best email to contact you with updated information regarding the Rally.
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Relationship to person(s) with DS*
Age of person with DS
Number of additional family members to attend (NOT INCLUDING YOU)
Family Member 1
First Last
City, State
Enter City and State of residence for name tag purposes.
Relationship to person(s) with DS
Family Member 2
First Last
City, State
Enter City and State of residence for name tag purposes.
Relationship to person(s) with DS
Family Member 3
First Last
City, State
Enter City and State of residence for name tag purposes.
Relationship to person(s) with DS
Family Member 4
First Last
City, State
Enter City and State of residence for name tag purposes.
Relationship to person(s) with DS
Research Rally panel of doctors and researchers
Question for the Panel Discussion
Please enter your question about Down syndrome for the panel of doctors and researchers.
LuMind emails
Would you like to receive emails about Down syndrome research from LuMind Research Down Syndrome Foundation?
- Yes
- No

Annual Convention - June 27-30, 2019 - Pittsburgh, PA

LuMind Research Rally 2019 - RSVP