Enroll Your Child Into the Mentee Program

Thank you for your interest in NAAF’s Youth Mentor program! This unique program is designed especially for children with alopecia areata. However, not all children with alopecia areata want or need a Youth Mentor. Before filling out this application, please talk with your child and make sure this is what they want. It will make for a much better experience for both mentor and mentee!

Also, if you are an adult with alopecia areata or a parent of a child with alopecia areata, and would like support right away, you can speak with a Telephone Support Contact who has alopecia areata. Please contact us at info@naaf.org and we will be happy to provide the name and phone number of someone who can help.

Our program accepts children and teens ages 5-18 and their parents.    Complete this form to enroll you child into the program.

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1Start
2Your Child
3More About Your Child
4Final Thoughts
Parent's Name*
Parent's Address*