American Diabetes Association:

Ask the Experts: Start and Maintain an Active Lifestyle

Date:

Tuesday, June 8, 2021

Time:

2:00 PM - 3:00 PM

To register for this Ask the Experts Q&A event, please fill out the information below and press "Next".

'*' = Required Fields

Attendee Information

* First Name

* Last Name

* Email

Yes, I would like to receive emails related to the Ask the Experts event and the American Diabetes Association.

* Country

Phone

Gender

Event Preferences

By providing your *phone number we will call you at the time of the live event. If you don't provide a phone number, you can watch/listen at: www.diabetes.org/experts. (*If you provided your mobile number standard data and message rates apply.)

1. What is your personal relationship to an individual with diabetes?

2. What is your date of birth?

3. If applicable, how old were you when you were diagnosed with diabetes?

4. If applicable, what type of diabetes?

5. What is your race/ethnicity?

6. What is your highest level of education?

Terms and Conditions

7. Field Is Required Please select "Yes, I Accept" to accept.

ADA's Privacy Policy

8. SOURCE

9. If a resident of countries affected by GDPR, we are required to request your consent and acknowledgement that you authorize us to store your data by selecting 'True'.

Available Ticket Classes

Price	Purchase / Donations	Available	Limit	Quantity	Total
$0.00	Attendee (KDBH) "Attendee (KDBH)" cost $0.00, of which $0.00 is tax deductible.	No Limit	1
Total Tickets:				0	$0.00