Stanford Regional Event Registration Form

Stanford Regional Event Registration Form
Date: August 22, 2026

Time: 8:00a.m.-4:00p.m.

Location: Stanford Faculty Club, 439 Lagunita Drive, Stanford, CA
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What is your year of birth?
Email Address
example@example.com
Phone Number

Area CodePhone Number
Will you be bringing any children (Of note, programming is being offered for children ages 11 years and above) Please include the names of all children in the rows below.
Child Information
Please list any foods you are avoiding (check all that apply)

Other
How familiar are you with FARE (Food Allergy Research & Education)?
Do you require any special accommodations? (fill in)
Photo/Video Authorization: By registering for the 2026 Stanford Regional Event, I hereby grant Food Allergy Research & Education (FARE) and its authorized representatives permission to take photographs/video footage of me and my minor children in attendance (if applicable).
By declining to be on photo/video, I take full responsibility for alerting FARE and/or event staff if an image of myself or my child is accidentally captured.
Should be Empty: