2021 FAST Summit & Gala Ticket Giveaway

Please read all of the following information carefully.  Incomplete entries will not be submitted:
 
The 2021 FAST Global Summit & Gala Ticket Giveaway is open to parents OR grandparents of individuals with Angelman syndrome who are members of FAST and intend to attend both the 2021 FAST Global Summit and FAST Gala, FAST Forward Together.  If you are not a registered member of FAST, click here and then return to the survey.   Each family may enter to win either one (1) or two (2) tickets  to the 2021 FAST Global Summit & Gala taking place on December 3rd & 4th, 2021 in Austin, Texas.  Please submit only one entry per family - duplicate entries will result in both entries being deleted.
 
Please enter correct and accurate contact and address information.  If you are selected as a winner, we will contact you through the email address you provide on this form. Tickets will be provided to the winners in November.
 
Please use proper address format (capitalize the first letter of first name, last name, guest name, street, city, state and country).  If you live outside of the United States, please include country code when entering your phone number.
 
There is a very good chance you will win tickets in this drawing, so please only enter if you plan to attend the 2021 FAST Global Summit & Gala.
 
Transportation, lodging and any incidental costs associated with attending the Gala are the sole responsibility of the attendee.  Visit www.fast-gala.org for complete information about the 2021 FAST Global Summit & Gala, including a link to reduced room rates at the Hilton Austin.
 
 
IMPORTANT DATES
Submission Open Aug. 17, 2021
Deadline Sept. 20, 2021
11:59 pm CT
Award Notification
& Announcement
Sept. 21, 2021
Claim Ticket by Oct. 5, 2021


*****Once you submit this form, you will see a thank you message for submitting - this will be your only confirmation that you have successfully submitted this application.  Please make sure you submit correctly or FAST will not receive your information.****
 
There is a group on Facebook where all Summit & Gala information is discussed - if you aren't already a member, please join the FAST Family & Friends Facebook group!
 
Good luck and we look forward to seeing you at the 2021 FAST Global Summit & Gala, FAST Forward Together!
 
Sincerely,
Board of Directors
FAST

Question Title

* 1. In order to be considered for the ticket giveaway, you must review the following and answer yes, I have heard the Health and Safety Statement:

Health and Safety:
FAST is excited to reunite the Angelman community at the 2021 Summit & Gala in Austin, TX. We have done all that we can to ensure that we can celebrate in person this year. The safety of our community is our top priority.  Our event will comply with the following mandates and protocols: 

Austin Covid-19 Recommendations
Texas Covid-19 Recommendations
Hilton Covid-19 Protocols

We are continuously monitoring recommendations from local health authorities and the Center for Disease Control and Prevention (CDC) for essential large group meetings and events, and anticipate that changes will be made between now and December.  We recommend that our attendees continue to review local and venue mandates and protocols frequently for the latest updates on occupancy levels, PPE & wearing masks, social distancing, cleaning protocols and other important information.  

In planning the 2021 FAST Summit & Gala, FAST will include COVID-19 Compliant Officers to follow guidelines set by government mandates.

Please note that each individual airline has outlined their own mandates.  Each guest should check with their respective airline for COVID-19 protocols.

Question Title

* 2. Number of tickets you are requesting

Question Title

* 3. Enter your first and last name

Question Title

* 4. Enter your street address

Question Title

* 5. Enter your city (if outside the United States, enter your province)

Question Title

* 6. Enter your state. (if outside the United States, enter your county)

Question Title

* 7. Enter your zip code (if outside the United States, enter your postal code)

Question Title

* 8. Enter your country

Question Title

* 9. If you are requesting two (2) tickets, enter the first and last name of your guest

Question Title

* 10. Enter your guest's street address

Question Title

* 11. Enter your guest's city (if outside the United States, enter the province)

Question Title

* 12. Enter your guest's state. (if outside the United States, enter the county)

Question Title

* 13. Enter your guest's country

Question Title

* 14. Enter your mobile number

Question Title

* 15. If you are chosen as a ticket winner, do you opt to receive messaging about the event?

Question Title

* 16. Enter your email address

Question Title

* 17. Enter the link to, or the name of, your Facebook page

Question Title

* 18. Enter your guest's mobile number

Question Title

* 19. If you are chosen as a ticket winner, does your guest opt to receive text messaging about the event?

Question Title

* 20. Enter your guest's email address

Question Title

* 21. Enter the first and last name of your child or grandchild with AS

Question Title

* 22. Enter your child or grandchild's genotype

Question Title

* 23. Enter your child or grandchild's date of birth (mm/dd/yyyy)

Question Title

* 24. Will this be the first FAST Gala you attend?

Question Title

* 25. How many in your party will attend the Science Summit, focus on FAST funded researchers, on Friday, December 3, 2021?

Question Title

* 26. How many in your party will attend the Science Summit, focus on Pharma, on Saturday, December 4, 2021?

Question Title

* 27. If you win ticket(s) from the FAST Gala Ticket Giveaway, who would you like to be seated with at the Gala?  (It is very helpful to FAST for you to provide seating requests; however, seating preferences are not guaranteed).

T