Keep In Touch Support Network

KIT AUTHORIZATION

Please indicate below your desire to participate in The Myositis Association Support Group Network.

By clicking the submit button below, I authorize TMA to release my name, contact information and any diagnosis information I provided to other members who have joined TMA’s Keep In Touch (KIT) Member Support Network. It also constitutes my agreement only to use the KIT list for KIT- and TMA-related activities. I further release TMA, its officers, directors, staff and volunteers, as well as each of their representatives, heirs, administrators, successors and/or assigns, from any claim or liability that may arise from taking part in the KIT Member Support Network. I further understand I may withdraw from future participation and release of my information at any time upon written request to the TMA office, at which time I will destroy or return all of my copies of KIT lists.