New Paths to Treatment and Hope for Blood Cancers

Saturday, March 2, 2013 at Great Wolf Lodge, 2501 Great Wolf Drive, Mason, OH 45040

* I am a...

* First Name

* Last Name

* Street Address

Address Line 2

* City

* State/Province/Region

* Zip/Postal Code

* Primary Phone Number

Email Address

* Date of Diagnosis (MM/DD/YYYY)

* Patient Date of Birth (MM/DD/YYYY)

* Diagnosis

* Activities Attending

Continental Breakfast/Keynote Address with Louis J. DeGennaro, Ph.D., Executive Vice President and Chief Mission Officer, The Leukemia & Lymphoma Society

Not Attending Breakfast

Lunch/Networking Opportunities (Seating by Diagnosis)

Not Attending Lunch

* Lunch Preference

* Breakout Session I - Please choose only one topic

Not attending Breakout Session I

Bone Marrow Transplants - Allogeneic: Steve Medlin, DO

Bone Marrow Transplants - Autologous: Randolph Broun, MD

Making New Drugs, A Behind-the-Scenes Look: Frank Smith, MD

Leukemia 101: Sue Partusch, RN, MSN, AOCNS

Lymphoma 101: Jill Hunt, RN, CNP

Myeloma 101: Kitty Tierney, RN, BSN, OCN

* Breakout Session II: Research Updates from the 2012 ASH Meeting - Please choose only one topic

Not attending Breakout Session II

Adult AML & ALL: James Essel, MD

Aggressive Lymphomas: Philip Leming, MD

CLL/SLL: John Byrd, MD

Hodgkin's Disease: Miguel Islas-Ohlmayer, MD

Indolent Lymphomas: Mark Andolina, MD

MDS & MPN (including Myelofibrosis, Essential Thrombovythemia & Polycythemia Vera): John Haluschak, MD

Myeloma: Elias Anaissie, MD

* Breakout Session III: Quality of Life Issues - Please choose only one topic

Not attending Breakout Session III

8 Balance Points to Healing: Cathy Rosenbaum, PharmD, MBA

Cancer: I May Need to Take This to a Higher Power: Chaplin Randy Fannin

Cancer Rehab: Natasha Clinton, CNP, RN, MSN, OCN

Caring for the Caregiver: Jeannette DeBol, MSW, LSW

Eat, Drink & Be Wary: Jan Taylor, MS, RD, CSO, LD

* Breakout Session IV: Quality of Life Issues - Please choose only one topic

Not attending Breakout Session IV

Coming to Our Senses: Using Mindfulness to Manage Stress: Richard Sears, Psy.D, MBA, ABPP

Everything You Always Wanted to Know About Chemo... And Haven't Yet Asked!!!: Ruth Gholz, RN, MSN, AOCN; Sarah Godfrey, RN, BSN, OCN; Nancy Murrin, RN, BSN, OCN; Lisa Gebhart, RN, BSN, OCN; Panel Moderated by Sue Partusch, RN, MSN, AOCNS

Move It! Exercise for the Mind and Body: Lynn Brophy, RN, MSN, AOCN

Surviving and Thriving: The Sequel: Lyn Sontag, PsyD

Working with Cancer: Scott Carroll

* Did you attend last year's conference?

Yes

No

* Indicates Response Required