RTS Foundation Mailing List Signup

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RTS Foundation Mailing List Signup

Please fill out the below information to join the Rothmund-Thomson Syndrome Foundation mailing list.

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First Name *

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Last Name *

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Age *

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Parents name if under 18

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Mailing Address *

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Email *

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Preferred Phone Number *

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Alternate Phone Number

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Have you had genetic testing? *

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If you have been tested, which Type have you been diagnosed as? *

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Type 1 (no RECQL4 mutations/pathogenic variants)

Type 2 (has RECQL4 mutations/pathogenic variants)

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