Please complete all fields of this online registration form:



CityState Zip

E-mail address
Phone number
Type of Reservation
Unable to Attend

Type of Payment:

Genesys Heart Institute will use the proceeds to help design a new program with University of Michigan-Flint students focused on creating a series of health education videos. Student videos will feature lifestyle changes needed to help prevent the most prolific health issues in our region, including heart disease and diabetes.

If you have questions, would like to make your reservation by phone or you would like sponsorship information, please call (810) 606-6387.