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First Name:
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* Required
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Last Name:
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* Required
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Username:
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* Required, no spaces allowed
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Email Address:
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* Required
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Date of Birth:
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* Required (mm/dd/yyyy)
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City,State,Country:
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* Required (Ex: Rockville,MD,USA)
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Relationship to person with MS:
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* Required (Ex: Son, Daughter, etc.)
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I agree to follow the rules:
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- the room is for the children (ages 18 and under) affected by those diagnosed with MS
- the discussions are to center around questions, feelings, emotions, etc. about living with MS
- the discussions are not to focus on school, extra-curricular activities, etc. unless they are related to living with MS
- the chat room is moderated and,
- anyone continuing to abuse chat room rules and warnings will be blocked from entering.
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