TANGO2 Birthday Club!
We would love to recognize a TANGO2 community member and/or child our social media pages. Please complete the following form. Note: Birthdays must be submitted at least 3 months in advance to be included on upcoming posts. Be sure to be following us on our social media channels at Facebook: @tango2research, @Instagram @tango2researchfoundation, X @tango2research
Parent/Guardian Name 1:
*
First Name
Last Name
Child's Name (If more than one child, please submit an additional form):
*
First Name
Last Name
Email (by providing your email, you are consenting to receiving our emails)
*
example@example.com
Address (provide an address to receive a birthday greeting)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Birthday (Month, Day, Year)
*
-
Month
-
Day
Year
Date
Photo or video of child:
Browse Files
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of
How old will your child be turning?
Please indicate if your child is a TANGO2 angel: (has passed away from TANGO2 disease)
Yes
No
Please provide your social media handles if you would like to be tagged (Facebook and/or Instagram URL or handles)
Submit
Should be Empty: