Title
Postal address
What type of skin do you have?
Do you have any skin disease?
Do you have a child younger than 3 years old?
What skin type or skin disease do you have to deal with in your family?
To be able to submit a request, you must obtain your parents’ permission by asking them to tick the following box: I authorise my child’s personal data to be transmitted to NAOS Ireland (Bioderma)
By checking this box, you acknowledge that you have read the Privacy Policy, you accept to be contacted by BIODERMA in the future and to transfer exploitation rights to Bioderma Ireland about this form, and in particular, the right to use, access and store your Personal Data. Also, you transfer the right to replicate, represent, adapt and synchronise all or a part of your answers and words, on different methods and on different tools (paper, poster, videos, website, social networks,...) as a part of its internal or external communication for promotion, advertising, commercial, or scientific purposes about Bioderma products. You have the right to access, edit or remove your data at any moment according to our Privacy Policy.