Birthday Buddies Club

Register your loved one with Dravet syndrome and around their birthday they will receive a birthday card and a small gift from DSF’s mascot, Aurora!

For a patient with Dravet syndrome to participate in the DSF Birthday Buddies Club, the parent must be a member of the DSF Family Network. If you are unsure if you are a member of the DSF Family Network, you can email Karen prior to filling out this form.

At this time, the DSF Birthday Buddies Club is only available for Dravet syndrome patients in the United States. Patients of any age may participate.

Birthday Buddies Registration

Parent or Guardian Name*(Required)

First Last

Email Address(Required)

Email Address Confirm Email Address

I am a member of the DSF Family Network*(Required)

Yes, I am a member of the DSF Family Network

No, I am not yet a member of the DSF Family Network

I am not sure if I am a member of the DSF Family Network

Only registered members of the DSF Family Network may participate in the DSF Birthday Buddies Club. If you are not registered, you will be contacted to complete the form before your child can be added to the Birthday Buddies Club.

Patient Name*(Required)

First Last

Hidden

Patient Name(Required)

Language Preference

Birthdate(Required)

Address where package should be mailed*(Required)

Street Address Address Line 2 City State ZIP Code

Special Notes or Comments

The information collected by Dravet Syndrome The information collected by Dravet Syndrome Foundation will not be sold or distributed outside of DSF and is used solely to verify identity and assist with communication. Questions or concerns can be directed to our team.

Birthday Buddies Club

Birthday Buddies Registration

Dravet Syndrome

Caregivers

Get Involved