CONNECTIONS Event: Sat, June 22 @ 10AM PST/1PM EST

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

CONNECTIONS Event: Sat, June 22 @ 10AM PST/1PM EST

NSF's CONNECTIONS Program offers an opportunity for young Nephrotic Syndrome warriors, 13 years and younger, to be part of a community. Siblings 13 years and younger, are also welcome!

We are thrilled to have you join us for NSF's upcoming CONNECTIONS event on Saturday, June 22nd at 10am PST / 1pm EST! We are excited to embrace this group with some fun! Patients and siblings (13 & under) welcome to attend this interactive, activity-based meet-up hosted by the NSF Peer Team.

NSF's CONNECTIONS Program is guided by The NSF Peer Team, a group of young adults and older teens who themselves walk the journey of life with Nephrotic Syndrome. The NSF Peer Team is here to support others battling Nephrotic Syndrome and are passionate about encouraging younger community members to get involved in the NSF community in whatever way suits them. The NSF Peer Team is here to speak with parents, share experiences with young warriors and simply be a part of a collaborative and supportive community.

Please note: Registration for this event will close on Friday, JUne 21st at 8pm PST.

Please reach out to nsfpeerteam@nephroticsyndromefoundation.org with any questions about this event or interest in getting involved beyond attending this event!

The Nephrotic Syndrome Foundation

Email *

Required Acknowledgement:

I understand that NSF Peer Team Connections Events are available for children 13 years and younger with parent/guardian consent.

Parent/Guardian's Telephone Number *

I would like to receive a day-of text reminder for this session (US phone numbers only) *

Yes

Required

Parent/Guardian Name *

Parent/Guardian's Email *

Email Updates

I would like to receive email updates for all opportunities for my child to partake in the NSF Peer Connection Program

Required Acknowledgement:

I understand that children ages 13 and under will be contacted via their parent/guardian's contact information provided above

Required Acknowledgment: *

I am the legal guardian / parent of a child aged 13 and under, and I hereby give my permission for them to participate with NSF Peer Connections independently, such as through social media and with Peer Connection programming, under my care and supervision.

I am the legal guardian / parent of a child aged 13 and under, and I hereby do not give my permission for them to participate with NSF Peer Connections independently, such as through social media and with Peer Connection programming, under my care and supervision.

Required

Child's name *

Child's identified gender

Child's preferred pronouns

Child's age (13 & under) *

Child's relationship to Nephrotic Syndrome (i.e. patient, sibling of patient) *

Is there anything else we should know about the child? i.e Do they live outside the United States?

Required Acknowledgement: *

I hereby acknowledge I am responsible for the safety and wellbeing of myself / my child while participating in these (or other) activities facilitated by NSF. I acknowledge that NSF offers age requirements for sessions and agree to hereby adhere to all such requirements. I also understand these are guidelines only, and take full and final responsibility for my own / my child’s wellbeing and participation in these events regardless of age.

Required

Required Acknowledgement: *

I agree to hold harmless NSF, Peer Team Leads, and any other related parties who may communicate with me / my child as part of these programs or thereafter. I understand I am fully responsible for monitoring the appropriateness of the subject matter and / or communications within these sessions or otherwise.

Required

Required Acknowledgement: *

The Nephrotic Syndrome Foundation reserves the right to refuse or dismiss anyone that may cause any disturbance or hindrance in any manner that could jeopardize the safety or wellbeing of oneself or others.

Required

Required Acknowledgement *

I acknowledge and understand that NSF does not in any way provide medical advice, guidance or suggested protocols for managing or treating Nephrotic Syndrome. Materials, information and / or content presented in these sessions are offered for informational purposes only. The opinions expressed in our sessions are those of the participants only and do not in any way constitute medical advice or guidance. Always seek the advice of your physician or other qualified health provider with any questions you may have or before making any change in your treatment, diet or health protocol.

Required

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms