Conference - The Champ1 Research Foundation

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(813) 600-7950

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CHAMP1
- Connect
- Common Questions
About Us
Donate
Media
CHAMP1 Families
Education & Resources
Professionals

For with God nothing shall be impossible.

Mail Donations to 1367 Whitewood Ave. Spring Hill, Fl. 34609

X

Chinese (Simplified)

Chinese (Traditional)

Kurdish (Kurmanji)

Myanmar (Burmese)

Scottish Gaelic

CHAMP1
- Connect
- Common Questions
About Us
Donate
Media
CHAMP1 Families
Education & Resources
Professionals

Menu

CHAMP1
- Connect
- Common Questions
About Us
Donate
Media
CHAMP1 Families
Education & Resources
Professionals

CHAMP1
- Connect
- Common Questions
About Us
Donate
Media
CHAMP1 Families
Education & Resources
Professionals

Menu

CHAMP1
- Connect
- Common Questions
About Us
Donate
Media
CHAMP1 Families
Education & Resources
Professionals

CHAMP1 Scientific & Family Engagement Conference 2024

The CHAMP1 Family & Scientific Engagement Conference will be held October 25th-27th 2024.
This will be at the Rosen Centre in Orlando, Florida.

This will be the largest gathering of CHAMP1 families and professionals to date.

We have secured preferential room rates of $132 a night available from 22nd-30th October.
Further details of this will be provided via email once registered below.

Please enable JavaScript in your browser to complete this form.

Attendee Type *

Doctor
Researcher
CHAMP1 Family or Patient Advocate
Other

Attendee Type *

Institution / Company *

Title

Name *

First

Last

Age *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone Number *

Email *

Special Accommodations

E.g. Dietary, Medical

Layout

Will Others Be Attending With You? *

Yes
No

Number Of Other Attendees *

Other Attendee 1

Attendee 1

Name *

First

Last

Age *

Special Accommodations

E.g. Dietary, Medical

Has CHAMP1 Diagnosis *

Yes
No

Will Require Child/Patient Care *

Yes
No

Other Attendee 2

Attendee 2

Name *

First

Last

Age *

Special Accommodations

E.g. Dietary, Medical

Has CHAMP1 Diagnosis *

Yes
No

Will Require Child/Patient Care *

Yes
No

Other Attendee 3

Attendee 3

Name *

First

Last

Age *

Special Accommodations

E.g. Dietary, Medical

Has CHAMP1 Diagnosis *

Yes
No

Will Require Child/Patient Care *

Yes
No

Other Attendee 4

Attendee 4

Name *

First

Last

Age *

Special Accommodations

E.g. Dietary, Medical

Has CHAMP1 Diagnosis *

Yes
No

Will Require Child/Patient Care *

Yes
No

Other Attendee 5

Attendee 5

Name *

First

Last

Age *

Special Accommodations

E.g. Dietary, Medical

Has CHAMP1 Diagnosis *

Yes
No

Will Require Child/Patient Care *

Yes
No

Other Attendee 6

Attendee 6

Name *

First

Last

Age *

Special Accommodations

E.g. Dietary, Medical

Has CHAMP1 Diagnosis *

Yes
No

Will Require Child/Patient Care *

Yes
No

Other Attendee 7

Attendee 7

Name *

First

Last

Age *

Special Accommodations

E.g. Dietary, Medical

Has CHAMP1 Diagnosis *

Yes
No

Will Require Child/Patient Care *

Yes
No

Other Attendee 8

Attendee 8

Name *

First

Last

Age *

Special Accommodations

E.g. Dietary, Medical

Has CHAMP1 Diagnosis *

Yes
No

Will Require Child/Patient Care *

Yes
No

Other Attendee 9

Attendee 9

Name *

First

Last

Age *

Special Accommodations

E.g. Dietary, Medical

Has CHAMP1 Diagnosis *

Yes
No

Will Require Child/Patient Care *

Yes
No

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Our Mission

Our mission is to improve the lives of those affected by CHAMP1 disorders through clinical research, effective treatments, public awareness, early detection, family support and patient advocacy.

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1367 Whitewood Ave. Spring Hill, Fl. 34609

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