Registration form

Registration form
Nickname:
E-mail:
Data of father
Surname:
First name:
E-mail:
Your Facebook Profile Address:
Your Personal Website Address:
Your Twitter Address:
Telephone:
Address:
City:
Zone:
Postcode:
Country:
Data of mother
Surname:
First name:
E-mail:
Your Facebook Profile Address:
Your Personal Website Address:
Your Twitter Address:
Telephone:
Address:
City:
Zone:
Postcode:
Country:
Data of child
First name:
Date of birth:
Which one of these chromosome 14 aberrations has affected your kid?:
Enter Karyotype:
Please describe your interest in Ring14 and how we might best serve you:
How did you find us?:
Is there anything else you would like to share with us?:
Conditions:	This is the forum of the Association RING14 for the research on rare neurogenetic diseases. It is open to parents, doctors, teachers and all people wishing to be involved, for obtaining information and for exchanging opinions about genetic aberrations connected to chromosome 14. Being RING14 an International Association collecting families and doctors worldwide, we don�t put any bond of language, everyone is free to participate using his language or, when possible, using English which is, for convention, the more used language. Herebelow the main aims of the forum: - to put in connection parents and operators who have daily to face and solve the heavy problems concerning care, rehabilitation and education of children suffering such a type of diseases; - to make a quick circulation of results and data obtained from the scientific research carried on by our researchers; - to promote a better knowledge of all aberrations connected to chromosome 14. The list is closed and moderated and THE SUBJECTS ARE FIXED BY THE ASSOCIATION, IF YOU HAVE A NOT YET DEALT SUBJECT TO PROPOSE, SEND YOUR REQUEST BY MAIL TO presidenza@ring14.it. Rules of the forum: Entry to the forum is free! We insist that you comply with rules and policies herebelow detailed. If you accept everything, it will appear the window "I have read and accepted the conditions for registration" and click the key "Send" herebelow. Administrators and moderators of the forum will try to stop all unplesant messages which will reach the forum but it will be impossible for us to examinate all messages. All messages express the point of view of their authors and noone of the owners of this Forum will be responsible of the content of any message. By accepting to comply with the above rules you declare that you will not send any message which could be considered as obscene, vulgar, sexual, hateful, menacing, false, defamatory, invading personal privacy, terroristic, inciting violence or violating any laws. The owners and the administrators of the Forum have the right to cancel, to modify, to displace or to close any discussion for any reasons. Your personal data, like your e-mail address, are not visible and cannot be contacted by anyone exception for the administrators of the forum. They will not be transferred to third parties and we will not send you any advertising email not requested. We will not accept: - messages which don�t comply with the subject of the forum; - advertising messages; - messagges with personal polemics which does not concern the forum; - messages with offensive or provocative language; - messages containing coarse language; - messages with racialist or sexual content; - messages with a content violating Italian laws (defamation, criminal instigation, etc.)
I have read and accepted the conditions for registration

To register on our website please enter into the form above your full name, e-mail address and indicate why you are interested in our association.

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