2017 Juvenile Arthritis Day Registration
Culver City, CA

Star Eco Station
10101 Jefferson Blvd.
Culver City, CA 90232

Sunday, October 15, 2017
2:00 p.m. - 4:00 p.m.


Juvenile Arthritis Day provides a safe and secure experience for families of children and teens with juvenile arthritis and childhood rheumatic diseases. Families and kids gain a greater understanding of juvenile arthritis, connect with others, increase independence and self-confidence and discover new skills and interests.

Join us at the Star Eco Station, an environmental science museum, where you can learn about exotic wildlife and endangered and illegally-trafficked animals.

For additional information please contact Amanda Casalegno acasalegno@arthritis.org or call 323.746.7792.

Please read the JA Day Waiver before starting your registration.

* required information
Registration 
Please provide the following information for one parent/guardian of child with JA:
First Name:*
Last Name:*
Address Line 1:*
Address Line 2:
City:*
State:*
ZIP/Postal Code:*
Phone:*
Email:*
Attendee #2 First Name:
Attendee #2 Last Name:
Attendee #2 Age:
Attendee #3 First Name:
Attendee #3 Last Name:
Attendee #3 Age :
Attendee #4 First Name:
Attendee #4 Last Name:
Attendee #4 Age:
Attendee #5 First Name:
Attendee #5 Last Name:
Attendee #5 Age:
Attendee #6 First Name:
Attendee #6 Last Name:
Attendee #6 Age:
Dietary or Other Needs:
If you have more than six family members who will be attending this event, please contact your local AF staff person listed above.
$0.00 Standard
General Registration
Quantity:*
Total Cost: $
Additional Donation
We are happy to offer our JA programs to families at little or no cost. However, if you are able, please consider making a donation to support ongoing JA events.
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By submitting this registration, I acknowledge that I have read and understand the statements listed in the JA Day Waiver.


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