Champion Bio Board Submission First Name of Child* First Age* Date of Birth* MM slash DD slash YYYY Diagnosis* What are your hobbies?*What would you like to be when you grow up?*If you had super powers, what would they be?*If you were a superhero, who would you be and why?*Short story on how cancer has affected you or your family.*Short sentence of encouragement to the 5K runners/walkers at the event, or family motto.*A picture you have drawn (optional)Max. file size: 32 MB.2-4 Hi Resolution Photos for bio boards / website / social media* Drop files here or Select files Max. file size: 32 MB. Photo Release* I approve I give my permission and approve the use of submitted photographs for the creation of my child’s Bio Board along with CHAMP’s fundraising efforts, advertising, publicity, through the CHAMP website: www.septemberchamp.org I understand this will be used in published material, social sites and/or slide/video/on-line presentations regarding CHAMP. I understand that I can withdraw my consent at any time. Unless I indicate otherwise, there is no time limit on this consent. It would be helpful if you could answer these questions briefly in your own words:What is the hardest thing about hearing these words "You have cancer” or “Your child has cancer"?What is one good thing that came out of the diagnoses?How has cancer impacted your family?Who had the greatest positive impact on you when you were diagnosed?What do wish could have been different?What advice would you give to families newly diagnosed?What have you learned from your diagnosis?CAPTCHA
