Update your hero’s information and permissions to share your hero’s story by filling out the short form below. Hero Information Hero's First Name * Hero's Last Name * Hero's Birth Date * Hero's Street Address * Address information will not be published. Hero's City * Hero's State * - Select -N/AAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming If you don’t live in a US state, please select “N/A” and provide the province/state in the field below. Other Hero's Zip Code * Hero's Status - None -In TreatmentIn RemissionDeceasedNot ApplicableNED Type of Cancer * Tell Us About Your Hero Share with us an update to your hero story: * Please upload up to four most recent photos of the hero below: Files must be less than 2 MB.Allowed file types: gif jpg jpeg png. Hero Image Upload Files must be less than 2 MB.Allowed file types: gif jpg png. Hero Image Upload Files must be less than 2 MB.Allowed file types: gif jpg png. Hero Image Upload Files must be less than 2 MB.Allowed file types: gif jpg png. Link to Hero's Photo Please provide a URL to a photo of the hero, or email it to [email protected]. Please note, a horizontal photo would work best. Hero Parent/Guardian Permission? * - Select -YesNoPending Permission We must confirm the hero's parent / guardian has agreed to post the story. Submitter Information Your Name * Your Email * Your Relation to Hero * Telephone of hero's parent/guardian * We are sensitive to your family’s privacy and we strive to be careful in how we use the information you provide. By sharing your child’s story you are helping to make people aware of the need for pediatric cancer research and to inspire them to fundraise for the cause. By submitting this form you are granting Alex’s Lemonade Stand Foundation (ALSF) permission to share your child’s story and photo on AlexsLemonade.org and other official ALSF digital properties such as social media. ALSF may also consider using your child’s story and photo in our newsletters and other print materials. By checking "I Agree", I am allowing ALSF to share my child’s story and photo in the above mentioned ways. Allow ALSF to share your child's story I Agree Your Full Name May ALSF share your child’s photo and story with third parties partnered with the Foundation, such as corporate sponsors or media? Please select a permission level below: * - Select -I allow ALSF to share my child’s story and photo with third parties partnered with the FoundationIt depends on the material, please contact me for permissionI do not allow ALSF to share my child’s story and photo with third parties partnered with the Foundation Leave this field blank CAPTCHAThis question helps us prevent spam submissions.