SpringFest Registration

Please fill out the form below to be added to the SpringFest WAITLIST.

If space becomes available, you will be called and emailed a separate registration link. Questions? Please contact Carrie McCulloch cmcculloch@hfmich.org, 734.961.3503.
What is your registration type?*
Does someone in your immediate family have a bleeding disorder? Please note: SpringFest is only open to individuals with bleeding disorders and their immediate family members.*

YesNo
Who should be contacted if space becomes available?*

First NameLast Name
What Phone Number should we call if space becomes available?*
What e-mail should we send a registration link to if space becomes available?*
example@example.com
How many adults should be added to the waitlist?*
How many children should be added to the waitlist?*
Childcare is currently full. If space should become available, how many children would need the following:
Childcare- Ages 0 - 4 (on-site)
Kids Camp- ages 5 - 12 (off-site)
Teen Program- ages 13 - 17 (off-site)
If space becomes available, will you need us to reserve a hotel room(s) for you on Saturday night?*

Yes, I would need hotel accommodations.No- I would attend, but would be responsible for my own accommodations.
How many people do you anticipate would stay at the hotel? *
If you will be traveling more than 3 hours (approximately 180 miles) you may be eligible to receive a hotel nights stay on Friday night. Would you like to be added to the waitlist for a Friday night hotel room?*

YesNo
Should be Empty:

Please fill out the form below to be added to the SpringFest WAITLIST.