BTG - SYNGAP1 FAMILY MEMBERSHIP
Becoming a BTG - SYNGAP1 Family Member is easy! Just complete this form and hit submit. BTG - SYNGAP1 Family Memberships are FREE.
Family Memberships include: BTG Newsletter, Updates on SYNGAP1 Research, Information about BTG Events with priority registration and inclusion in the BTG Family Directory.
*Your information will never be publicly shared or distributed.
Please indicate your status
Other - Researcher, Clinician, Therapist
Do you give permission to BTG to publish your contact information in the BTG - SYNGAP1 Family Membership Directory? *Available only to persons with a BTG - SYNGAP1 Family Membership, contact information will never be publicly shared.
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Do you have any other information that you would like to share with us?
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This form was created inside of Bridge The Gap - SYNGAP Education and Research Foundation.