We are looking for stories from anyone touched by colorectal cancer. You can be a current patient, a long-term survivor, a caregiver, and advocate, a physician. We are looking for stories of anyone touched by this disease.

You can share your story with us either write it and submit in the form below, or NEW THIS YEAR submit the form and note that you would prefer to have one of our writers schedule a time to talk and help tell your story. Either way works for us. And don’t forget to share photos.

See samples from last year

 

Faces of Blue : Submit your story

Your Name (required)

Your Email (required)

City, State

Phone Number

I am a:

Patient or SurvivorCaregiverAdvocatePhysician or other medical professional

FOR PATIENTS. How old were you when you were diagnosed?

FOR PATIENTS. What is your current age?

FOR PATIENTS. What stage were you at diagnosis?

Do you want us to help you write your story?
I want to write my own storyPlease contact me

Here's my story in my own words (complete this part only if you want to tell your own story). I understand Colon Cancer Coalition writers may edit for length and will communicate with me any changes.

What does the phrase "Get Your Rear in Gear" mean to you?

Have you participated in a Get Your Rear in Gear or Tour de Tush event?

If yes, what city?

Please submit 2-4 photos to share with your story. Including one of you alone. Others can be group or active photos that help illustrate your story. Please make sure the photos are high resolution. (one required)



Please provide the name of any required photographer credits.

Have you created a video telling your story?
YesNo

If yes, please provide YouTube, Vimeo, or other URL.

What is your Twitter handle?

What is your Instagram handle?

By submitting my story and photo I grant permission to the Colon Cancer Coalition the rights to use submitted photographs and my story, portions of my story and quotes, in conjunction with my own name for the purpose of educating and screening for colorectal cancer. I waive any right inspect or approve the finished Material. I understand that I shall not receive any compensation for use and I acknowledge that I have no interest or ownership in the Material or its copyright. I warrant that I am 18 years of age or older and I have the right to enter into the Agreement in my own name.