CHERUBS 2008 International Member Conference | Congenital Diaphragmatic Hernia Support

Conference Registration

You must be a member of CHERUBS to attend our conferences and get-togethers. If you are not a member, please join.

There is no conference fee.

Members are responsible for their own accomodations, transportation and other costs.

Your Name:

Your E-Mail Address:

Your Phone Number:

Your Mailing Addressr:

Cherub's Name:

Cherub's Birthdate:

Cherub's Date of Death (if appl):

Names of Adults Attending and Their Relationship to your Cherub (for name tags):

Names and Ages of Children Attending:

Will You Need Child Care?:

Will You Be Attending The Angel Ball?

Will You Be Attending The Golf Tournament?

Will you be staying at the conference hotel?

Date of Arrival?

Date you are Leaving?

Suggestions For Round-Table Discussions:

Comments or Questions:

CHERUBS reserves the right to refuse registration to individuals who have been banned from our organization.