Welcome to the Alopecia UK Male Participation Sign up Form. 

Please only complete this form if you are happy and willing to be contacted in 2019 regarding Alopecia UK setting up a participation group.

We are hoping to create a sounding board of men who are happy to either bring ideas to the table or discuss with us existing ideas we have in order to create more resources and/or support for men with alopecia. 

Question Title

* 1. Are you