#FriendofFRAXA Submission

If you would like to nominate someone as a #FriendofFRAXA, simply complete the form below. We welcome all who have been touched by Fragile X, including friends, grandparents, siblings, professionals and companions alike. We’ll then review the submission and include it on our site and feature it on our social media accounts. The goal of #FriendofFRAXA is to put a face to Fragile X for those who may not know someone directly.

  • .jpg or .png, max 32MB. We may crop the photo to apply our overlay.
    Accepted file types: jpg, png, jpeg.
  • First name of the #FriendofFRAXA featured in the image.
  • Please provide a couple of interest your #FriendofFRAXA has. Can be anything from playing on their iPad, watching trains, playing in the rain, etc.
  • Please provide a couple of challenges your #FriendofFRAXA has. Can be anything from hearing the happy birthday song, riding in the car, loud noises, crowds, etc.
  • In case we need to contact you.
  • This field is for validation purposes and should be left unchanged.