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Write 2 Unite Participation Form
The
Write2Unite
program is a modern pen-pal initiative with a unique twist! Through various forms of social outreach, such as online platforms (like Instagram), in-person interactions, or even traditional mail, Write2Unite aims to connect pediatric aneurysm and AVM (arteriovenous malformation) patients and their families with others facing similar challenges. Simultaneously, the program introduces them to the many resources offered by TAAF.
Please complete this form to be paired within our community. By submitting this form, you are registering for the program and consenting to share your information with The Aneurysm and AVM Foundation in order to provide information and connect you with another member of the TAAF community.
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* Indicates required question
Email
*
Your email
Name
*
Your answer
Age Range
*
Elementary Age (8-11 years old)
Middle School Age (12 - 14 years old)
High School Age (15 - 18 years old)
Adult
Condition of Interest
*
AVM
Aneurysm
Both
Areas of Interest
*
Survivor
Caregiver - (Parent, Sibling, Immediate family)
Family/Friend of Survivor
Family/Friend of those who have passed away
Required
Communication of Choice
*
Email
Social Media
Writing/Postal Mail
Required
Communication of Choice (Continued): If you answerd social media above, please add your handle below. TAAF uses IG,TW and FB. If you would like to receive postal mail, please list your address.
Your answer
If you're an adult, mark yes below to join the monthly support group.
I understand that I am being added to a monthly support group email list and will receive a monthly reminder from TAAF for the support group. I can ask to be removed from this list at any time by emailing TAAF at
info@taafonline.org
.
Yes
Clear selection
If you're a teen (13 and above), mark yes below to receive information about TAAF 4 Kids Private, parent-approved Discord Server.
Yes
Clear selection
How did you hear about TAAF?
*
Instagram
Twitter
Facebook
Referral from UCSF
Referral from Stanford
Referral from family or friend
Website: Google, etc.
Other
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