Submit a Survivor Story

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Young Survival Coalition > Community > Survivor Stories > Submit a Survivor Story

Thank you for your interest in sharing your story with the YSC community. By sharing your experience with others, you may serve as both a source of inspiration and a reminder that if you are a young woman with breast cancer, you are not alone. To submit your story, please complete the form below.

Please note:
- Stories should be approximately 450 words.
- The YSC reserves the right to edit story content. Significant edits to your story will be emailed to you for your approval.
- Digital photos are accepted in .GIF and .JPEG formats. The photo must feature only the subject of the story.
- Stories will be posted 2-4 weeks after approval.

All fields marked with an (*) are required
* First Name:
Middle Initial:
* Last Name:
Address 1:
Address2:
* City:
* State:
Zip Code:
Country:
* Phone Number:
* E-Mail Address:

* Birthdate (mm/dd/yyyy):
* Age at diagnosis:
* Stage at diagnosis:
* Type of cancer:
Please upload an image (gif or jpeg format):
* Survivor Story (We recommend that you cut and paste your story into the text box below) :


Yes, I would like my Survivor Story to be considered for the "Survivor Spotlight" in the YSCs quarterly newsletter
Yes, I am interested in talking to the media about my experience as a young survivor.
* I accept the Terms and Conditions of YSC. Read our Privacy Policy.

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