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Pen Pal Request for Anna Thank you for your interest in writing to a JDRF Kids Online pen pal. Please complete the following form, including the message text, and click "Submit" when complete. Only your first name, age, state/country (if provided), and message text will be forwarded to the pen pal.

Note: Highlighted fields indicate required information.

* Required field  
* First Name:
* Last Name:
* Email:
* Email Confirmation:
* Birthday: ex. mm/dd/yyyy
* Relationship to Diabetes: I have diabetes
Family or friend has diabetes
State/Province:
Country:
* Message to Anna:
Kids Advocacy Network I would like to join JDRF’s Kids Advocacy Network and help to raise awareness on important diabetes issues.
Sign me up!