Registering for this site is easy. Just fill in the fields below, and we'll get a new account set up for you in no time.

Account Details

Profile Details

First Name (required)

First Name

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Last Name (required)

Last Name

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Email (required)

Email address

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Who can see this field?
Please explain your relationship to a person affected by Lafora Disease. (required)

Please be specific as this will determine if your access to the Family Forum will be granted.

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Who can see this field?