Registry | Australia Alopecia Areata Foundation

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ACT
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TAS
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Registering with AAAF is the best way to stay up to date with the latest in alopecia research, our support programs, and events near you.

Please fill in the form below to join the AAAF Registry. We recommend you use Firefox, Chrome or Edge. If you are having trouble completing this form, you can use an alternative one here If you’re new to Alopecia Areata, or having a tough time, consider checking out our Care Package service.

Your Name

Your Email

Phone

Address

Suburb Postcode

State

Gender

Date of birth

Do you have a form of Alopecia
YESNO

If so, which type

Does any member of your family have Alopecia

Can your image be used in marketing
YESNO

Do you want to be contacted regarding research trials for your category
YESNO

Do you want to be notified of upcoming events
YESNO

Would you like to be contacted regarding volunteer assistance needed at events
YESNO

Please provide a brief description in what area you would like to help

How did you find out about AAAF

I have read Privacy Policy and Publishing Personal Information and agree to be added to the Registry.

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Terms

Personal and health information collected by AAAF is protected under the Privacy Act 1988 (Commonwealth) as amended by the Privacy Amendment (Private Sector) Act 2001 (Commonwealth) including the National Privacy Principles and the Health Records Act 2001(Victoria). AAAF being national in collection, is required also to comply with any other relevant state or territory privacy legislation (the Law).In this policy, a reference to ‘information’ in general is a reference to both personal and health information.

AAAF is committed to protecting your privacy. We respect the privacy of your information, and manage it according to the Law. The Law regulates how your information is handled throughout its life cycle, from collection to use and disclosure, storage, accessibility and disposal.

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ABN: 14 104 820 346 Charity Registration No: A0057033E

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