Community Clinician Registration Form

The 2023 Annual Conference for the Federal Hemophilia Treatment Centers for Western States/Region IX will take place April 28-30, 2023, at the Westdrift in Manhattan Beach.

Address: 1400 Parkview Ave, Manhattan Beach, CA 90266

Registration is required to attend.
Separate forms must be filled out for each attendee.
Please submit a completed registration form by March 17, 2023.

Name
Please indicate which pre-conference session you will be attending on Friday, April 28.
Please indicate which breakout session you will be attending on Saturday, April 29.
Please indicate any questions/issues that you want addressed during the conference
Meals included will be Friday reception, Saturday breakfast, lunch, am/pm breaks, and dinner, and Sunday breakfast, lunch, and am break. Please list any FOOD REQUIREMENTS:
HOTEL RESERVATION: The group rate of $199.00/night + applicable state and local taxes (currently 12% and CA Tourism Fee $0.44); Rates guaranteed through 3/17/23.
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