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2026 Gettin' in the Game
1.
Name
2.
Address
3.
Age
4.
Bleeding Disorder
Hemophilia A
Hemophilia B
Von Willebrand Disease
Rare Factor Deficiency
Platelet Disorder
Other (please specify)
5.
Preferred Sport
Baseball
Basketball
Swimming
Golf
6.
Have you ever attended Gettin' in the Game before?
Yes
No
7.
Why are you interested in participating in Gettin' in the Game?
8.
What would the perfect Chapter event look like?
9.
Tell me about something that you have done that you are proud of-big or small.
10.
What is something that you are passionate about?
11.
Describe yourself in three words
