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name  (pseudonym is fine)	date of birth (to compute age)	gender male  female
location (example: "Catoosa, Oklahoma, USA" or "Grafton, New South Wales, Australia")
CAH type -- select one -- Classical (SWCAH) Late Onset CAH Non-salt wasting CAH	password   (in case you want to change anything in the future)	email (in case you forget your password)