We want to hear from you and add you to our list of members
This form requires you to use your mail application to be properly submitted. Someone should contact you with in one week to confirm your request.
Please fill in name and place check for members with a Tourette Syndrome diagnosis.
Family Name:
Parent 1:
Parent 2:
Child 1:
Child 2:
Child 3:
Child 4:
Child 5:
Address:
City:
State:
Zip:
County:
Phone Number:
Email:
When is the best Time Method to contact you:
May we share your contact information with other members?
VOLUNTEERING INFO
The key to our success will be getting as many people as possible involved. I would like to know in what capacity you are able to contribute. Please check all that apply
How far will you travel for Events:
Board Member
Director (Support Groups and Committee Leaders)
Nominating Committee
Membership Committee
Newsletter Committee
Telephone Tree Committee
Education Committee
Community Relations Committee
Web Page Committee
Fundraiser Committee
Support Group Coordinator
Professional/Medical Advisory Committee
Participate in a local support group.