Share Your Story

We’d love to hear from you! If you or a loved one would like to tell us about your experience with CPRF, please share your story with us. We love to share this feedback about how the programs and services we provide make a difference.

Name
First Last
Email*
Program Used*
Message*
If you'd like to include any photos, please attach them here (2MB file maximum). For larger files, please e-mail them to info@cprf.org.
Drop files here or

Max. file size: 8 MB, Max. files: 5.
Publicity Consent*
I agree
This consent form is required for any photos that have been attached.

-----------------------------------------------------------------
I hereby give my permission to the Cerebral Palsy Research Foundation of Kansas, Inc. to use my name, photograph, and/or video image in any official CPRF publication, on the CPRF website, CPRF social media, and/or CPRF marketing material.

I understand that this consent may be revoked by me at any time for further use of my information and image (photo and/or video) from the date of notification to the CPRF Public Relations office and forward. Revocation will not be retroactive.
United Way Campaigns
I agree
CPRF has permission to use my image for United Way and other funding partner campaigns in which CPRF is featured.