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The Beats Music Program: July 31 to August 4, 2019

The Beats Music Program was created by the Coalition for Hemophilia B to give our musically inclined members age 18 and over an opportunity to learn from professional musicians-—as well as each other—while developing new skills, increased confidence, and new friends.

When/Where

Wednesday, July 31st to Sunday, August 4th
Gaylord Opryland Resort & Convention Center
Nashville, TN

Who cAN Participate?

The program is open to all Coalition members age 18 and over who have hemophilia B or are a sibling of someone with hemophilia B. Please specify on the application form your relationship and Coalition membership status.

HOW TO APPLy

Complete the online form below OR fill out the PDF form and return it by mail, fax, or email to: The Coalition for Hemophilia B, 757 Third Avenue, 20th Floor, New York NY 10017. Fax: 212-520-8501. Email: contact@hemob.org.

Deadline for submitting your application is January 30th, 2019.

Applicant attendees will be notified by February 15th.


ONLINE APPLICATION BEGINS HERE!

All *Questions required.

APPLICANT CONTACT INFORMATION: You must be 18 or over and have hemophilia B or be able to specify your relationship to hemophlia B.
Name *
Name
Phone *
Phone
Date of Birth
Date of Birth
Parent's Name (if different from above)
Parent's Name (if different from above)
Parent's Phone
Parent's Phone
DESCRIBE YOUR BACKGROUND AND EXPERIENCE: Please answer ALL 16 questions using the pull-down menu selections or write-in fields.
EXTRACURRICULAR OPPORTUNITY: Members of the Coalition have started a pickup live band called The Bleeders that covers songs and plays at Coalition meetings such as the Annual Symposium in March.
3. Please provide your full name and email if interested in The Bleeders.
3. Please provide your full name and email if interested in The Bleeders.
ADDITIONAL COMMENTS