Annual Spring Celebration and Education Seminar

Annual Spring Celebration and Education Seminar

Friday, May 3rdand Saturday, May 4th

Best Western Shoreview*

1000 Gramsie Road, Shoreview, MN 55126

Announcing the SCFLF 32ndannual Spring Celebration and Education Seminar!  We’ll be gathering on Friday evening for a buffet dinner and the Transplant Anniversary Pinning Ceremony.  On Saturday, SCFLF hosts the annual Education Seminar, followed by a buffet luncheon. We look forward to having you join us!

  • Please register online at tiny.cc/vgki4y by April 29Optionally, mail in the registration form on the reverse side with your check to the address on the form.

Also find enclosed the Transplant Anniversary Pin (TAP) form for those marking special milestones.  Congratulations!  

Friday, May 3rd:  Spring Celebration Dinner & Pinning Ceremony

5:00 pm – Sign In, Welcome and Cash Bar

6:00 pm – Buffet Dinner

7:00 pm – Pinning Ceremony for LVAD and Transplant Recipients and Group Photo, followed by a Social Hour

Saturday, May 4th: Education Seminar & Luncheon

8:00 am – Continental Breakfast

8:30 am to Noon – Education Presentations 

  • Diane Bearman, PhD, LP, Health Psychologist, Division of General Internal Medicine – Mental health issues related to heart transplantation for patients, caregivers and families.
  • Andrew W. Shaffer, MD, MS, Assistant Professor, Division of Cardiothoracic Surgery, Department of Surgery– Surgical update: new procedures with VAD implantation
  • Priya Kamdar, DDS, Clinical Assistant Professor, Department of Developmental and Surgical Sciences– Dental care for heart transplant and LVAD patients
  • Samy Riad, MD, MS, Assistant Professor of Medicine, Division of Renal Diseases and Hypertension– Kidney health after transplant

12:15 pm – Group Photo of LVAD and Transplant Recipients and Buffet Luncheon

* A block of rooms is being held at the Best Western hotel. Use “Second Chance for Life at Best Western Plus” for a special rate ($119/king bed and pullout sofa sleeper) when calling 651-482-0402 (availability limited).

REGISTRATION FORM

Second Chance for Life Foundation Educational Seminar

May 3rd& 4th, 2019

Please register by April 29thattiny.cc/vgki4yor mail this registration form and check (to be received by April 29th) to: Second Chance for Life Foundation, P.O. Box 131462 Roseville, MN 55113 

Name:_________________________Phone:_____________email_________________

Check one:

[   ] Heart transplant:  Date of transplant:_________ Transplant number:_____

[   ] LVAD/Waiter        [  ] LVAD Destination        [   ] Waiter        [  ] Other

Adults $10.00        Children under 12: $5.00 

(#______ Adults x $10) + (# _______ Children x $5) = $ _____________

I am unable to attend, however please accept my tax-deductible donation of $ ________

Total amount enclosed: $ __________

#________ please indicate the number attending dinner on Friday (6pm) 

#________ please indicate the number attending Continental Breakfast & Seminar on Saturday (8am) 

#________ please indicate the number attending the Luncheon Saturday (12:15pm)

Name(s) of attendees:  

1.__________________________________     2. ______________________________

3.__________________________________     4. ______________________________

Thank you for your support of Second Chance for Life Foundation!

SCFLF Transplant Anniversary Pinning Ceremony – Friday,May 3, 2019

Transplant Anniversary Pins (TAPs) will be distributed twice yearly, at the SCFLF educational seminar in May and at the SCFLF annual holiday event in December. A formal “pinning ceremony” will be conducted at each of these events with the eligible surviving transplant recipient selecting who they wish to “pin” them. One (1) TAP will be presented free of charge to individuals who have attained the year status on the pin (1, 3, 5, 10, 15, 20, 25, 30 years). Up to two (2) additional TAP’s may be PURCHASED for $5.00 each, depending on sufficient availability of TAP’s. Transplant recipients are eligible for one free Caregiver pin, and may purchase up to two (2) additional Caregiver pins at $5 each. 

Please complete and return this form with your 2019 event registration form if you wish to participate in the SCFLF TRANSPLANT ANNIVERSARY Pinning Ceremony.

Transplant Anniversary Pins

Name:­­­­ _________________________________ Transplant Date: __________ 

Heart Number: _____

Name of person who will pin me: ____________________________________________

Circle your recognition anniversary and year status:

Recognition:1 year     3 years     5 years    10 years     15 years     20 years    25 years     30 year

Year Status:  1-2 year       3-4 years     5-9 years      10-14 years     15-19 years   20-24 years     25-29 years   30 + years

Yes, I wish to purchase additional TAPs for $5 each: 

 _____ 1 additional pin  _____2 additional pins

Transplant CAREGIVER Pin(s)

Please complete and return this form with your 2019 registration form if you wish to

honor a caregiver during the SCFLF Pinning Ceremony:

Caregiver I wish to honor:_____________________________________________

Yes, I wish to purchase additional TAPs for $5 each: 

_____ 1 additional pin _____2 additional pins

Caregiver name (optional): ________________________________________________

Caregiver name (optional): ________________________________________________