SEPT 2-3 ♦ ORLANDO, FL

In-Person Registration

Please be sure to fill out all information correctly. You can include up to 4 people in one registration. Once this form is filled out you will be redirected to the payment page. Thank you and we look forward to connecting with you at the conference!

First Name

Last Name

State

Country

Phone

Age

Emergency Contact Name

Emergency Contact Phone Number

Which describes you best?

I have been diagnosed with PP and am looking for help. I have not been diagnosed with PP but curious to learn if I have it. I am overwhelmed with the information available or lack thereof. I am looking for help to manage my symptoms and balance my lifestyle changes. I have been diagnosed with PP, am managing my symptoms, but want to learn more. I know someone who has PP and I want to help. I am interested in learning more about PP for other reasons.

What Type of PP Do You Have?

Additional Guest 1: First Name

Additional Guest 1: Last Name

Additional Guest 1: Age

Additional Guest 2: First Name

Additional Guest 2: Last Name

Additional Guest 2: Age

Additional Guest 3: First Name

Additional Guest 3: Last Name

Additional Guest 3: Age

Select Your Registration Type

1. First Name

1. Last Name

Email of Main Registrent

2. First Name

2. Last Name

3. First Name

3. Last Name

4. First Name

4. Last Name

Street Address

City

State

Postal Code

Country

Phone

Age

Emergency Contact Name

Emergency Contact Phone

Which describes you best?

What Type of PP Do You Have?

Do you have any questions or comments?

Do you want to get our weekly Video Series in your inbox?

Yes, I can't wait to watch these videos! No, thank you. I'm not interested.

Organizers & Sponsors

The PPA believes in the power of connection. We work with partners in the patient community and any industry who share the same goal of researching, identifying, treating, and curing Primary Periodic Paralysis.