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.
YSC reserves the right to edit story content.
Digital photos are accepted in .GIF and .JPEG formats. The photo should feature only the subject of the story.
Stories take 2-4 weeks to be posted but can take longer during high volume periods.

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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