2026 Conference Scholarship Application

Fill out the form below to apply for a scholarship to attend IFCR’s 6th Family Educational Conference.

2026 Conference Scholarship Application
Name
Name
First Name
Last Name
Address
Address
City
State/Province
Zip/Postal
Consent to receive text messages
Relationship to person with CDKL5 diagnosis
Have you attended a previous IFCR conference
Have you previously received a scholarship to attend an IFCR conference?
Have you attended any IFCR events? (Select all that apply)
Have you hosted a fundraiser for the IFCR
I am unable to attend without financial assistance
Have you volunteered for IFCR?
Raise Awareness Volunteer Fundraise Participate in Research