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The TBCD Project Registry
This registry will be used to keep track of individuals with TBCD Disorder in order to disseminate important information about research breakthroughs, clinical trials, community events, and more.
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Email
*
Your email
Affected Individual - First Name
*
Your answer
Affected Individual - Last Name
*
Your answer
Legal Guardian - First Name
Your answer
Legal Guardian - Last Name
Your answer
Contact Email
*
Your answer
Contact Phone
Your answer
I would like to be contacted about... (please choose all that apply)
*
Clinical Trials
Drug Research Findings
Research Participation
Community Events
Fundraising
None of the above
Required
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