Tell Us Your Story

So many children and their families have amazing stories to tell about the ways The Children's Institute has made a real difference in their lives.

Here is your chance to share your story. Simply fill out the form below, and be sure to include a photo. A staff member will contact you for official clearance if your story is chosen for our Website or other materials. Please note that submissions are subject to review.


 

All fields are required.
Child's First Name:

Salutation:

Parent's First Name:

Last Name:

Email Address:

Verify Email Address:

Phone Number (optional):
e.g.: XXX-XXX-XXXX

Story Title:

Photo (optional):

Tell us your story:

LEGAL DISCLAIMER: By Submitting this form you agree to allow The Children's Institute to use your story for print materials including this web site.

Would you like to receive our Amazing Kids publication?     Yes No
  I verify that I am at least 18 years old and by submitting this form The Children’s Institute has my permission to use my story in any The Children’s Institute related materials.
     


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