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Alopecia Areata Germany e. V.
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About Alopecia Areata
What is Alopecia Areata?
Causes and Diagnosis
Treatment options
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Affected men
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Experience report – Celia
Experience report of a mother 1
Experience report of a mother 2
Interview – Isabel
Interview – Prof. Dr. med. Ulrike Blume-Peytavi
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Registration for events
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Registration for events
Registration for events
AAD
2019-06-14T06:23:43+00:00
Sign up here directly online for one of our events.
1. Registration and personal details
Select an event
*
Come together 2019 am 29 – 31.03.2019 in Düsseldorf
Familienwochenende in Hamburg 20. – 22. September 2019
First name
*
Surname
*
Address
*
Postal code / city
*
Age
*
E-mail address
*
Phone
*
Member of AAD
*
Yes
No
We travel by car and can take people with us
*
Yes
No
Anzahl Personen
We do not travel by car and require a ride
Yes
No
Number of people
Number of child seats needed
Person 2
Name
Surname
Age
Member of AAD
Yes
No
Person 3
First name
Surname
Age
Member of AAD
Yes
No
Other people
Yes
Person 4
First name
*
Surname
*
Age
*
Member of AAD
*
Yes
No
Other people
Yes
Person 5
First name
*
Name
*
Age
*
Member of AAD
*
Yes
No
Other people
Yes
Person 6
First name
*
Surname
*
Age
*
Member of AAD
*
Yes
No
2. Information for the kitchen/catering team:
First name / Surname
First name / Surname
First name / Surname
Allergy or special diet*
Allergy or special diet*
Allergy or special diet*
Other people
Yes
First name / Surname
First name / Surname
First name / Surname
Allergy or special diet*
Allergy or special diet*
Allergy or special diet*
* (Vegetarian, diabetic, Muslim)
3. Workshop Registration
First name / Surname
First name / Surname
First name / Surname
Desired courses / workshops
Desired courses / workshops
Desired courses / workshops
Other people
Yes
First name / Surname
First name / Surname
First name / Surname
Desired courses / workshops
Desired courses / workshops
Desired courses / workshops
Your Comment / Special Notes
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