Lansing Day 2026 Application

Be a voice for the bleeding disorders community!

HFM is excited to host our legislative advocacy event, Lansing Days, in-person on Tuesday, March 24th and Wednesday, March 25, 2026.

We hope YOU will join us in educating the legislature on bleeding disorders by sharing your unique stories.

Tuesday

Dinner and legislative training at the Kellogg Hotel and Conference Center in East Lansing.

Wednesday

Travel in groups to meet with your elected representatives to discuss the needs of the bleeding disorders community.
Specific policy issues to be discussed will be determined closer to the event date.

This event is free of cost.

We invite members of the Michigan bleeding disorders community to apply to attend HFM Lansing Days.





Questions or comments? Contact HFM Government Relations and Communications Manager Zach Ryan, at zryan@hfmich.org or 734.961.3516
Personal Information
Do you, or does someone in your family, have a bleeding disorder?

YesNoI am a healthcare providerHFM staff
Thank you for your interest in HFM's Lansing Days. This event is limited to individuals with bleeding disorders and their immediate family members. Visit www.hfmich.org for other opportunities to support the Michigan bleeding disorders community.
Have you participated in HFM's Lansing Days in the past?

YesNo
In order to match new advocates with returning advocates, please indicate your comfort levels with leading a conversation with your elected officials.*

Very comfortableComfortableUncomfortableVery Uncomfortable
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Birth Date*

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E-mail*
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Do you have a red HFM Advocacy T-shirt?

Yes, I have one.No.
What size t-shirt will you need? (Red HFM Advocacy shirt)
It is important that you provide home addresses for EACH attendee. This is how HFM will find your representatives and schedule meetings on your behalf. Thank you!
Number of additional family members attending?*
1st Additional Participant Name*

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1st Additional Participant Birth Date

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Participant at same address?*
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Does your 1st Additional Participant have a red HFM Advocacy T-shirt?

Yes, they have one.No.
What size t-shirt will your 1st Additional Participant need? (Red HFM Advocacy shirt)*
2nd Additional Participant Name*

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Participant at same address?*
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Does your 2nd Additional Participant have a red HFM Advocacy T-shirt?

Yes, they have one.No.
What size t-shirt will your 2nd Additional Participant need? (Red HFM Advocacy shirt)*
3rd Additional Participant Name*

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3rd Additional Participant Birth Date

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Participant at same address?*
Address

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Does your 3rd Additional Participant have a red HFM Advocacy T-shirt?

Yes, they have one.No.
What size t-shirt will your 3rd Additional Participant need? (Red HFM Advocacy shirt)*
4th Additional Participant Name*

First NameLast Name
4th Additional Participant Birth Date

MonthDayYear
Participant at same address?*
Address

Street Address

Street Address Line 2

CityState

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Does your 4th Additional Participant have a red HFM Advocacy T-shirt?

Yes, they have oneNo
What size t-shirt will your 4th Additional Participant need? (Red HFM Advocacy shirt)*
5th Additional Participant Name*

First NameLast Name
5th Additional Participant Birth Date

MonthDayYear
Participant at same address?*
Address

Street Address

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CityState

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Does your 5th Additional Participant have a red HFM Advocacy T-shirt?

Yes, they have oneNo
What size t-shirt will your 5th Additional Participant need? (Red HFM Advocacy shirt)*
Hotel Accommodations

HFM is happy to provide overnight accommodations at the Kellogg Hotel and Conference Center, East Lansing, on Tuesday, March 24th at no charge to you.
Special Needs/Rooming Requests

Wheelchair accessibleOther
Please enter any dietary restrictions:
Transportation

Please be aware that all participants will be asked to provide their own transportation between the Kellogg Hotel and the Capitol Building.
Are you in need of transportation assistance to the Kellogg Hotel and Conference Center in the form of a gas card?*

NoYes, I am in need of assistance
A staff member will be in touch regarding transportation closer to the event.
Attendees are expected to attend the Tuesday evening dinner and training. If you are unable to arrive by Tuesday, March 24th please contact Zach Ryan at zryan@hfmich.org or at 734.961.3516.
Photo and Video Release
Why We Ask

It is HFM’s pleasure to host community members at various events throughout the year. By documenting these events through photo and/or video we hope to maintain a historical record of community activities, share photos for future events or activities, and promote fundraising efforts that support HFM events and services. It is a joy to reminisce when looking through photos, we hope to preserve community memories and moments.
Please select one:*

I consent to and authorize the use and reproduction, in print or electronic format by the Hemophilia Foundation of Michigan (HFM), or anyone authorized by HFM, of any and all photographs or video of me/my child(ren) which have been taken for this event, for any publicity, without compensation. I understand that all images and quotations of/by me/my child(ren)—electronic, print, and recordings—are owned by HFM which may publish or use them in any professional manner, including, but not limited to: print publications, websites, social media, and broadcast media. I acknowledge that I am 18 years of age or older and have read and understood the terms of this release.I do not authorize or permit the Hemophilia Foundation of Michigan (HFM) or its authorized agent to use photos and/or video of me/my child(ren).
Community Member Agreement

-Notification Requirement: If you or your group registers for Lansing Days 2026 and later realize you are unable to attend, please notify Zach Ryan at zryan@hfmich.org as soon as possible. -No-Show Policy: If HFM is not notified of your cancellation and you do not attend: Future Event Requirement: A credit card guarantee will be required for the next HFM event you wish to attend. -No-Show Fee: Registration fees will be charged to the card on file if you fail to show up or notify HFM in advance. We believe offering respect and consideration to fellow HFM community members, speakers, volunteers, and staff is important. We are grateful for your understanding and support.
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Community Member Agreement