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2024 Travel Scholarships for Making Connection Conference
Thank you for your interest in attending our 8th Annual Team Luke Hope for Minds Pediatric Brain Injury Conference & Resource Fair. The event will be on 10/25 and 10/26 in Austin, Texas. Please fill out the form below and we will get back to you within 7 days. 
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What is your name? *
What is your mobile number? *
What is your email? *
What is your child's name who suffered a brain injury? *
What is your child's date of birth *
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When did the injury occur? *
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Medical Information: Describe the nature of your child's injury and/or type of accident. *If you applied for financial assistance with us in the past, please write "N/A". *
What is your address?
If you are asking for a full scholarship but we can only assist you with some of your expenses, will you be able to pay for those expenses we can't cover?
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Will you be able to pay for the expenses up front and we reimburse you?  *
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