Teens With COVID Sign-Up

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Hello friend! Thank you so much for your interest in joining a support group through Teens With COVID. After signing up below, you will be connected with a small group of teens from across the country via a DM on Instagram. To see what's happening in our Teens With COVID community, please follow our Instagram, @teenswithcovid. If you have any questions, email me at marlo@teenswithcovid.com

Sign me up! *

I have COVID and I'm in isolation

I'm in quarantine

I'm not in isolation or quarantine, but I want to provide support for other teens

First Name *

Last Name *

Email Address *

City and State *

Instagram Username *

Anyone who signs up with Teens With COVID must be between the ages of 13 and 19. By checking the box below I understand this requirement. *

I am between 13 and 19 years old

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