If you are a patient, caregiver, or MDA volunteer interested in attending the conference (in person or virtually), please complete this form before registering.
Patient/Caregiver/MDA Volunteer Form


Once verified by MDA, you will receive a separate email with a registration link.

Registration Information

Fill out the information below, then click Next to continue.

 

* Registering As:
Work Address
USA

CONSENT

* 

Assumption of Risk; Indemnification

By registering for the Conference, I hereby assume all risks associated with, resulting from, or arising in connection with, participation, in any capacity, in the Conference or any Conference-related activities, including, without limitation, all risks of theft, loss, harm, damage, illness or sickness (including those caused by known or unknown infectious or communicable disease such as COVID, H1N1, or other illness or sickness caused by bacteria, fungi, microorganisms or viruses), or injury to the person (including death) or property damage, whether caused by negligence, intentional act, accident, act of God, or otherwise

As a condition of my participation in the Conference, I agree to hold harmless, defend and indemnify MDA, its directors, officers, employees, volunteers, chapters, licensees, cooperating entities, agencies, their representatives, heirs, executors, administrators, successors and assigns (the “Protected Parties”) from any and all claims of mine, my spouse, family members, or others arising from my injury or loss due to my participation in the Conference, including those arising from the inherent risks of attending the Conference or the negligence of the Protected Parties to the greatest extent allowed by law.

* 

Acknowledgment of Understanding; Severability; Jurisdiction

I FURTHER ACKNOWLEDGE THAT BY COMPLETING THE REGISTRATION FOR THE CONFERENCE I HAVE READ THIS LIABILITY WAIVER, ASSUMPTION OF RISK AND INDEMNIFICATION AGREEMENT AND FULLY UNDERSTAND ITS TERMS. I FREELY AND KNOWINGLY ASSUME THE RISK AND WAIVE MY RIGHTS CONCERNING LIABILITY AS DESCRIBED ABOVE AND, I AM AGREEING TO A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY. IF ANY PORTION OF THIS AGREEMENT IS HELD INVALID, IT IS AGREED THAT THE BALANCE SHALL, NOTWITHSTANDING, CONTINUE IN FULL LEGAL FORCE AND EFFECT. This Agreement shall be governed by the laws of the State of New York.

Terms and Conditions

Take a moment to review the terms and conditions for this event

Your personal data will be collected by Syneos Health, to manage your registration and participation in connection with the 2027 MDA Clinical & Scientific Conference and will be shared with the Muscular Dystrophy Association. In consideration of your registration and attendance at, or participation in the Conference, you authorize MDA's use and distribution of your photo/image/likeness and videotape/voice recordings in any medium, now known or later developed, including, but not limited to, MDA's websites and social media posts, for use in editorial, educational, promotional, and advertising purposes, for the solicitation of contributions, and for any other purpose in furtherance of MDA's purposes and objectives, without payment to you. Such authorization is binding upon you as well as your heirs, executors, administrator, and assigns, throughout the world in perpetuity.