FD/MAS Pen Pals Waiver and Sign Up
This first section is a waiver to be completed by the parent or guardian of the child signing up. Please initial after each paragraph of the Pen Pal waiver to affirm that you understand and agree. If you have questions, email info@fibrousdysplasia.org.
Email address *
This pen pal program is for children living with FD/MAS. The FDF will match your child with another self-identified child with FD/MAS to begin a pen pal relationship, at no cost to you. *
INITIAL BELOW TO CONFIRM UNDERSTANDING AND AGREEMENT.
Your answer
Only the legal guardians of a child with FD/MAS may enroll a child with FD/MAS in this program. Only submit this form if you are the legal guardian of the child described in the form, and only if that child has FD/MAS, and if you agree to complete this form accurately. *
INITIAL BELOW TO CONFIRM UNDERSTANDING AND AGREEMENT.
Your answer
By submitting this form, you are agreeing that the FDF has your permission to share the contact information you provide DIRECTLY with your assigned pen pal. Other than this planned disclosure, FDF agrees to take measures to keep your contact information private and secure, and will not share it with anyone other than your pen pal. We will not sell, rent, or trade your information with other individuals or organizations. *
INITIAL BELOW TO CONFIRM UNDERSTANDING AND AGREEMENT.
Your answer
You understand that FDF will send the mailing address you provide to the self-identified legal guardian of your child’s assigned pen pal. Similarly, the FDF will send you the mailing address provided by the legal guardian of the pen pal assigned to your child. Any damages or loss that may occur due to exchange of this contact information is at your sole risk. You consent to indemnify and hold harmless the FDF from any claim, demand, or damage asserted by you or a third party due to this exchange of contact information. *
INITIAL BELOW TO CONFIRM UNDERSTANDING AND AGREEMENT.
Your answer
By submitting this form, you, the legal guardian, agree that you will not misrepresent yourself in your identity, nor your child in their age or identity. You agree to act in a respectful manner and to not use this service for unlawful means. You agree to take responsibility for your child’s conduct. You agree to be responsible for outcomes related to your child’s communications with their assigned pen pal, and agree that the FDF and its directors are not liable for any damages or loss that may occur due to your pen pal correspondence. *
INITIAL BELOW TO CONFIRM UNDERSTANDING AND AGREEMENT.
Your answer
Finally, you understand that FDF is not responsible for filtering participants in this program or verifying their identities, and makes no guarantees about the personal conduct of people in this program. You assume all related risk on behalf of your participation and the participation of your child. *
INITIAL BELOW TO CONFIRM UNDERSTANDING AND AGREEMENT.
Your answer
Please type today's date to affirm that you have read and agree to this Pen Pal waiver *
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Please type your first and last name to affirm that you have read and agree to this Pen Pal waiver *
WRITE YOUR FULL NAME BELOW TO CONFIRM YOU UNDERSTAND AND AGREE TO THE TERMS OF THIS PROGRAM.
Your answer
FDF sends out quarterly newsletters and occassional other mailings. Would you like to be added to our mailing list?
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This form was created inside of Fibrous Dysplasia Foundation.