HOPE Gala
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​HOPE Gala & HOPE Spring Education Weekend
| Patient Scholarship Application

We have a limited number of scholarships available, however if you are approved you will receive a two night hotel accommodations at Hilton New Orleans Airport Hotel on Friday, April 13th & Saturday, April 14th. It also includes admission to our HOPE Gala. We believe this will be a great weekend to refresh you and your significant other, you will walk away feeling inspired and ready to face your future with fresh courage. Please note childcare will NOT be provided.

Weekend Schedule


FRIDAY, APRIL 13th

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3PM | Hilton New Orleans Hotel Check-In
5:30PM | Check-In / Registration for Weekend
7PM | Industry Sponsored Dinner & Presentation

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HOTEL CHECK-IN

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EVENT CHECK-IN

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SEATED DINNER

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SPEAKER PROGRAM


SATURDAY, APRIL 14th

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8AM  | Light Pastries & Exhibition
10AM | Brunch & Speaker Program
1PM | Break / Personal Time

4:30-5PM | Bus Transportation Provided to HOPE Gala

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EXHIBIT

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BRUNCH

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SPEAKER PROGRAM

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​​*​Formal Attire - Black tie optional*​
​5PM
| HOPE Gala Registration | Doors Open
5:30PM | Silent Auction & Cocktails - 1st Floor
7-10PM | Presentation & Dinner - Main Ballroom
10-12PM | Bus Transportation Provided to back to Hilton

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JEWELRY PULL

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SILENT AUCTION

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MOBILE BIDDING

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SEATED DINNER

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LIVE AUCTION

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AWARDS CEREMONY


    Please fill this form out completely. If you have any questions regarding this application please email our team at events@hopeforhemphilia.com. A Hope for Hemophilia staff member will be contacting you shortly regarding details and approval.
    **Adults Only

    **Adults Only

    (ie:// number of people/beds needed, number of rooms, type of beds) We will do our best to accommodate you in the requested order, however we may have to ask you to stay in a room type other than requested due to limited availability.
    Please provide specific dates and times preferred.


    Patient Consent: ​

    ​By applying for travel assistance you understand that Hope for Hemophilia is not responsible for any expenses outside of the approved arrangements, delays and/or lost luggage or any other associated expenses other than those expressly stated in your approval letter. Hope for Hemophilia takes privacy very seriously and will not share any of your personal information. By signing this application you understand that Hope for Hemophilia will add you to our mailing list for future invitations to future events and mailings. By signing this agreement you are giving permission to Hope for Hemophilia to use any photos of you and your guests during the event for future publication and any likeness thereof to be in distributed without compensation. If your application is approved Hope for Hemophilia requests that you participate in all available sessions and training throughout the event unless otherwise medically excused. This application does not guarantee approval for assistance and could be denied. All applications must be completed and submitted no later than March 21st, 2018 to be considered for approval.
SUBMIT

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