LHF 2023 Annual Meeting Fall Festival Sponsoring Industry Partners Registration

LHF 2023 47th Annual Meeting Sponsoring Industry Registration

Sheraton

500 Canal St, New Orleans, LA 70130

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* 1. Full name(s) of those attending on behalf of your company.

Name:

Name:

Name:

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* 2. Company Name

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* 3. Phone number of each company representative attending.

Phone #:

Phone #:

Phone #:

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* 4. Please provide email address of each representative.

Email:

Email:

Email:

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* 5. LHF has reserved a block of rooms for your convenience. Please us the link https://book.passkey.com/e/50392332 to reserve your room by 10/11/2023 for special pricing. (If link does not work, please copy and paste in your browser.)

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* 6. Assumption of the Risk and Waiver of Liability Relating to

Coronavirus/COVID-19

     The Louisiana Hemophilia Foundation (“LHF”) has put in place preventative measures to reduce the spread of COVID-19; however, the Louisiana Hemophilia Foundation cannot guarantee that you will not become infected with COVID-19. Further, attending the LHF Annual Meeting, 11/10-12/2023, could increase your risk of contracting COVID-19.

     By checking yes to this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by attending the LHF Annual Meeting, 11/10-12/2023, and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at the LHF Annual Meeting, 11/10-12/2023, may result from the actions, omissions, or negligence of my child(ren) or myself and others, including, but not limited to, LHF employees, volunteers, and program participants and their families.

      I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I may experience or incur in connection with my attendance at the LHF Annual Meeting, 11/10-12/2023, or participation in LHF programming (“Claims”). On behalf of my child(ren) and myself, I hereby release, covenant not to sue, discharge, and hold harmless the Louisiana Hemophilia Foundation, its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs, or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of the Louisiana Hemophilia Foundation, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any LHF program.

Yes

No

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* 7. Accident/Injury Liability Waiver

I, the undersigned, being aware of my own health, limitations, and physical condition, acknowledge that I am voluntarily participating in the LHF Annual Meeting, 11/10-12/2023.

Having such knowledge, I understand that I am solely responsible for my personal safety and hereby release LHF, its representatives, agents, and event site host from liability for any accidental injury that may result from participation in this program.

I also accept this liability on behalf of my child(ren), and furthermore agree to supervise adequately to prevent injury.

Yes

No

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* 8. Questions or comment? We welcome all!