Muscular Dystrophy Association - Registration

First Name

Last Name

Designation

Title

Company

Email Address

CC Email Address

Mobile Phone

Work Address

Street Address, City, State, Zip Code

Registration Category

If you are registering for one or two conference summits, please select the category “Conference Summit”. If you would like to attend all three summits, please register by selecting your designated registration category (i.e. Scientist/HCP)

Please provide the name of the lab you work in:

Registration Rate

Available Summits

Participation fee per summit - $100
Please note, registering for all 3 summits will gain you full conference access for the remainder of the year

Dates

Invites

Promo Code

If you have a promo code, please enter above

I understand and accept the following terms of registration:

Label

Your personal data will be collected by vFairs, to manage your registration and participation in connection with the 2021 MDA Virtual Clinical & Scientific Conference and will be shared with the Muscular Dystrophy Association. In consideration of your registration and attendance at, or participation in the Conference, you authorize MDA's use and distribution of your photo/image/likeness and videotape/voice recordings in any medium, now known or later developed, including, but not limited to, MDA's websites and social media posts, for use in editorial, educational, promotional, and advertising purposes, for the solicitation of contributions, and for any other purpose in furtherance of MDA's purposes and objectives, without payment to you. Such authorization is binding upon you as well as your heirs, executors, administrator, and assigns, throughout the world in perpetuity.