Why register?

Even though it may be hard for many people to be concerned about data protection, we would ask you to encourage to register as affected parents via our website.

Your data will be kept strictly confidential, and you can also leave anonymous data.

Why should you provide your data?
Your data will be kept strictly confidential and will be passed on only in the context of the FoxG1 research, the FoxG1 family and also only if necessary.

Currently, there is a lot of research happening in the science and you can benefit from the fact that we have included you or your child in this database.

If you wish, you or your child can also registered anonymously so that we can still get an overview of the number of cases involved.

Mitglieder aus Deutschland melden sich bitte über folgenden Link an:

Personal Data Mother / Father
or Contactperson:

Name:
Surname:
E-mail:
Phone:
Mobil:
Street:
ZIP:
City:
Country:

Information about the child:

Child Name:
Child Surname:
Gender:
Date of Birth:
Information on FoxG1 Mutation: e.G.: c.460dupG; p.E154Gfs*301 (het.)
your futher comments:

general Information:

I authorize the storage / processing of my data for scientific purposes:
I would like to receive a newsletter at irregular intervals:

Spam Protection: please enter this code

After successful registration, you will receive a confirmation mail.

NETZWERK / PARTNER WEBSITES: