Form

2025 Patient and Physician
Conference Registration

After seven years apart, we’re thrilled to be back together. This conference is a celebration of resilience, connection, and progress in the scarring alopecia community. Exceptional speakers and a three-day program just for you! Only $419 for registration, which includes six meals, refreshments and all meeting materials.

First Name*

Last Name*

Email*

Mobile phone number*

Company name

Street address*

City*

State/Region*

Country/Region*

What is your relationship to SAF?*

If you have scarring alopecia, what type do you have?

Please indicate how many registrants, including yourself, you will be registering on this form.

Number of Registrants*

Registrant (1) First Name

Registrant (1) Last Name

Registrant (2) First Name

Registrant (2) Last Name

Registrant (3) First Name

Registrant (3) Last Name

Registrant (4) First Name

Registrant (4) Last Name

I give SAF permission to publish my name(s), contact, and type of scarring alopecia in the conference roster, which will be distributed to attendees, vendors, and faculty attending the conference. *

I give SAF permission to use and distribute any photos or videos taken at the conference, in which I, or my family, may be a part, including, but not limited to use in newsletters, appeals, social media, website, and reports.*

In consideration of the acceptance of this registration entry, I/we the undersigned, assume full responsibility for any injury, or accident which may occur while I/we am attending this conference. I/we hereby release and hold harmless the sponsors, promoters, and all other persons and entities associated with this event from any and all personal injury or damage, whether it be caused by the negligence of the sponsors, promoters, or other persons or entity. Applications for minors will be accepted if signed by a parent/guardian.*

I am interested in volunteering for the 2025 SAF Conference.

I am willing to be contacted and would consider volunteering to participate in a live patient panel during the conference.

Please be advised that payment is required to complete your registration. If payment is not made, your registration will not be processed.

2025 Patient and Physician Conference Registration

2025 Patient and Physician
Conference Registration