Registration

Register for the (VIRTUAL) 5th Annual UPIN Family Conference!

Click HERE to view the conference program!

Name*

First

Last

Email *

Phone

Neuromuscular Disorder *

Age*

I am registering as a...*

Do you have access to an electronic device (smart phone, tablet, computer, etc.)?*

Do you have a Zoom account? *

How many other people, if any, will be joining us for the conference from your electronic device?

Which sessions would you like to register for? Please select all that apply: *

Opening Session & Facilitated Dialogues at 10:00am (MST)

Keynote Address by Leslie Krongold at 12:45pm (MST)

Disability Law Center, Utah's Protection and Advocacy Agency at 2:00pm (MST)

Adapting Clothing with Eaze - Adapteaze at 2:30pm (MST)

Utah State Office of Rehabilitation-Vocational Rehabilitation Program at 3:00pm (MST)

Expert Panel & Closing Session at 4:00pm (MST)

Would you also like to be registered for the virtual Orientation on Thursday, October 22nd at 12:00pm (MST)?

Yes, please!

No, thank you.

Do you have any questions about how to prepare for a clinic visit, most especially during COVID-19? If so, please list those questions below.

Do you have any questions about how to navigate life with COVID-19 and a neuromuscular disorder? If so, please list those questions below.

Do you have any specific questions or information you would like to learn about genetic testing? If so, please list those questions below.

What questions would you would like to ask our experts during the Expert Panel? Please use the space below to list any and all of your questions. Reminder that experts that will be present at the conference will include: Physical Therapists, Occupational Therapists, Pulmonologists, Dieticians, Speech Therapists, Social Workers Psychologists, Neuromuscular Specialists, Geneticists, and Genetic Counselors)...

Overall, what are you hoping to gain from this year's virtual UPIN Family Conference? ...