Hodgkin Lymphoma Conference for Adolescents & Young Adults - April 6, 2019

Thank you for taking the time to register!

The Hodgkin Lymphoma Conference for Adolescents & Young Adults will take place on Saturday April 6, 2019 from 1:00 PM to 4:00 PM at:

Faculty of Medicine, McIntyre Building
1200, Pine Avenue West, H3G 1Y6

First Name: *

Last Name:

Address 1:

Address 2 :

City/Town: *

State/Province:

ZIP/Postal Code:

Country

Email Address: *

Phone Number: *

I am a Hodgkin lymphoma patient or survivor.

I am a family member of a Hodgkin lymphoma patient or survivor.

I am a friend of a Hodgkin lymphoma patient or survivor.

I am a caregiver of a Hodgkin lymphoma patient or survivor.

I am a healthcare professional.

I don't have lymphoma.

Other

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