Share Your Story

Share Your Story

2. Photo Upload (Additional photos can be sent to Champions@LPFCH.org.)
STORY AND PHOTO WAIVER
I hereby give the Lucile Packard Foundation for Children’s Health (the Foundation) permission to post on the Foundation's website and social media the story and/or images that I have provided through the Champions for Children portal in substantially the same format as I have provided them. I understand that my story and/or the images provided will be posted on a public website. I understand that if any party mentioned in my story and/ or images should at any time request that the story and/or image be removed from the website, then the Foundation will immediately remove the story and/or image without further inquiry.

I have confirmed that any other parties in my images or mentioned in my stories have consented to the posting of the story and/or images, as applicable. 
3. If the story and/or images that I have provided includes a minor child or children under the age of 18 (check one):
4. If my story and/ or images that I have submitted include any information or representation of a current or former patient of Stanford Children’s Health:
 
5. By signing here I confirm the above to be true. *This question is required.
Clear
Signature of