New Frontend Form

EVENT NAME *

Event Date and Time

Date *

Time *

Event Location

(Required for in-person events)

This is a virtual event:

(Check if applicable)

Virtual Event Link:

(e.g., Zoom/Google Meet link or platform)

Address Field

Address Line 1 *

Address Line 2

City *

Country *

State *

Event Description *

Insert Photo

(Example: "Join us for an educational workshop about managing PP symptoms with Dr. Smith, followed by a Q&A session. This event is open to patients, caregivers, and healthcare professionals.")

Host/Organizer Name *

(Example: "Periodic Paralysis Support Group, California")

Contact Information

(Required)

Email *

Phone Number

Event Registration Link (If RSVP is needed)

Image Upload (Optional)

Featured Image

(Max size: 5MB, accepted formats: JPEG, PNG)

Additional Notes (Optional)

(Include any special requests or extra details)

Confirmation and Consent (Required) *

I confirm that the information provided is accurate and that I have the right to submit this event for promotion. By checking this box, I agree to have the event details shared publicly on the World Periodic Paralysis Day (WPPD) website, social media channels, and related communications, subject to review and approval. I understand that WPPD may edit the submission for clarity or formatting. I have read and agree to WPPD’s Terms of Use and Privacy Policy.

Event Date and Time

Event Location

Contact Information

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