Share Your Story

Please provide the following information with your submission:

  • First Name and Last Name
  • E-Mail Address (will not be displayed)
  • Postal Address—include city, state and zip code (will not be displayed)
  • Phone number (in case of problem with submission)
  • Age of Diagnosis of yourself or loved one, or Number of Years as Caregiver
  • Attach a Photo of Yourself or Family Member (High-Resolution JPEG format). Please include names of all people in the photo. Photo title should include your name.
  • Create a title for your story. Please limit your story to 500 words. Please share with us how your life has been affected by Parkinson’s disease (as a patient, caregiver or family member). Tell us what challenges you have overcome and what keeps you happy, healthy and hopeful. What can you share with others that will help them keep moving forward?
  • A quotation that you find inspiring.
     
Required Information
 
Photo One:
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 Security code
Optional Information
 
Photo Two:
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By clicking Submit, you agree to the Terms of Use.

 

TERMS OF USE

Thank you for your interest in participating in the NATIONAL PARKINSON FOUNDATION (NPF) Personal Stories on www.parkinson.org. The purpose of the NPF Personal Stories section is to provide a forum for individuals impacted by Parkinson’s disease to share their individual experiences with others in the NPF community who might benefit from knowing that they are not alone. By submitting a story and photo, you acknowledge that:

  • a submission does not guarantee utilization of your story
  • if your story is accepted, it will be posted on www.parkinson.org
  • your story is subject to editing
  • the story and photograph becomes property of NPF
  • you will receive no remuneration for utilization and posting of your story and photograph

By submitting a story and photo, you give NPF and any of its subsidiaries permission to use, publish or copyright the story and photo without restrictions as to changes or alterations, for the purposes of medical education and awareness as related to NPF and any of its subsidiaries. The permission includes www.parkinson.org and all other forms of electronic media and print media. You also consent to the use of any printed materials in conjunction therewith. You waive any right that you may have to inspect or approve the finished, or the educational use to which it may be applied. By submitting, you understand that this universal release shall be valid for an indefinite period of time, unless it is revoked in writing. You also understand that you will not be compensated for the use of your photograph or story.

Limitation of Liability

NPF shall not be liable for any indirect, special, incidental, consequential or exemplary damage, including but not limited to personal injury, or wrongful death, whether in any action in warranty, contract, tort or otherwise arising out of or in any way connected with your submission and participation in NPF Personal Stories, even if an authorized representative of NPF is advised of the likelihood or possibility of same.

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