Lupus Patient Education Class - Registration
Register for the upcoming patient education class with the Lupus Foundation of Northern California. If you would like to register offline, please return to LFNC.org.
City, State, Zip
LUPUS PATIENT INFORMATION (OPTIONAL)
Are you a lupus patient?
If not, please describe your relationship to Lupus.
LUPUS CLASS INFORMATION
Will you be attending with someone else?
If yes, how many guests?
Please list the names of the guests you will bring (additional participants):
Please list one name per line and optionally indicate whether each is a lupus patient.
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