Kids Rheum

A registration page for the Kids Rheum Network
* required information
Registration 
Registration Information
This registration is for families in the Mid Atlantic Region only. If you are located in a different state, please contact Katie Bitner, kbitner@arthritis.org at our National Office, to find programs near you!
What Mid Atlantic Region state are you in?:*
First Name:*
Last Name:*
What is the child's name?:*
What is the child's birthday?:*
What form of arthritis does the child have?:*
How old was the child when diagnosed?:*
Email:*
Address Line 1:*
Address Line 2:
City:*
ZIP/Postal Code:*
Phone:*
Cell Phone:
Additional information you'd like to share?:
Fees
$0.00 Kid's Registration
By registering with the Kids Rheum Network, you'll receive a backpack with information and goodies, a subscription to the Kids Get Arthritis Too Newsletter, and invitations to eduacational and fun activities in the Mid Atlantic Region
OPTIONAL: If you'd like to make a donation to the Arthritis Foundation
Amount:$


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