Day for Hearts Registration :: Nationwide Children's Hospital

Day for Hearts Registration

Come be a star! From space explorers to shining stars, join us as we celebrate all our wonderful patients and heart families at the annual Day for Hearts Celebration. We hope your family can attend for an evening of crafts, games, and much more. Food will be provided.

The Heart Center Day for Hearts Celebration
Friday, August 25, 2017
5:30 p.m. – 8:30 p.m.
Nationwide Children’s Hospital
Stecker Auditorium & Lower Level Education Building

Day for Hearts Registration
Name *
Number of people attending *
Phone number *
Email Address *
Registration Code *
Photography Consent
By checking this box, I hereby authorize (give my permission for) the disclosure (release) of personal health information about my child, including name, age, diagnosis, treatment and prognosis. Nationwide Children's Hospital has permission to photograph my child at the heart event Day For Hearts and display photography, as well as my child’s personal health information described above, for the following: Hospital-produced publications, Hospital websites, Hospital educational purposes, professional conferences, Hospital events, presentations, and philanthropic communications. If a photograph is used for a purpose not included above, a Hospital representative will contact the parent/guardian for approval.
I agree to the above conditions *
Nationwide Children's Hospital
700 Children's Drive Columbus, Ohio 43205 614.722.2000