Instructions for Submitting a Story

PLEASE READ CAREFULLY! All fields marked with an asterisk* must be completed or your story will not be submitted. Fill out the form below to tell us the story. We will then look at the story and if we decide we are a good route for the situation we will then publish the story.

Your Information

FULL NAME: *

ADDRESS: *

CITY: *

STATE: *

ZIP CODE: *

PHONE: *

EMAIL: *

BIRTH DATE: *

RELATIONSHIP TO STORY: *

HOW DID YOU HEAR ABOUT US? *

Story Information

What kind of story: Sickness Adoption Movement for the Betterment of Community

What is the challenge of the story: *

What is the age of the person? (If, appropriate)

Are you going to collect donations? (if so, you must set up a paypal account. If you need help we can help you do this.) yes no

Will you want your contact information displayed on the website? yes no

The Story: (1500 chars left) *