RDD Individual Sign Up

Individual Sign Up

First name

Last name

Phone

Multi-line address

Country/Region

Address

City

Zip / Postal code

How do you identify in relation to rare diseases?

How Would You Like to Get Involved?

What kind of Rare Disease Day activity are you interested in?

Host a small awareness activity at home / in my community

Organise something at my workplace / campus / gym

Organise something at my child’s school

Do a social media awareness campaign

Fundraising (e.g. bake sale, steps challenge, birthday fundraiser)

Volunteer to share my story

I’m not sure yet – please contact me with ideas

How many people do you think might be involved in your activity (if applicable)?

2-10

11-25

26-50

51+

Preferred format (tick all that apply)

In-person

Online / virtual

Hybrid

Merchandise & Badges

Are you planning to raise funds as part of your activity?

Yes

Maybe, I would like more information

Communication & Consent

How would you like us to contact you?

Phone Call

Please add me to the Rare Disease Day & RDSA mailing list.

I understand that by submitting this form, I give RDSA permission to contact me regarding Rare Disease Day and related support or activities.