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Share Your Story
Please share your story concerning pregnancy loss and/or infertility.
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Email
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Your email
What is your
full name
? (If published, your story will include only your first name, and only with your permission)
*
Your answer
If you work in education, what is your role?
*
Classroom Teacher
Classroom Aide
Guidance Counselor
School Psychologist
Office Staff
Child Study Team Member
Other - I do not work in education
Other:
If you do NOT work in education, what is your job?
*
Your answer
Please tell your story.
*
Your answer
If your story is published, do you want your first name included or would you rather remain anonymous?
*
Please include my first name.
I wish to remain anonymous.
We love to include photographs with our stories. Please submit yours to
jackie@starthealingtogether.com
. Please include your full name and email address as written on this submission form.
How did you hear about Start Healing Together?
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A friend or family member
Social media
Presentation
Union representative
Employer
Other
Other:
>> 1 << I give permission for Start Healing Together™ to share my story (in part or in full), my first name and photo (if my consent is given) on its website and/or all social media pages. >> 2 << I reserve the right to request for the post(s) to be taken down. >> 3 << I agree to notify Start Healing Together™ at
jackie@starthealingtogether.com
to submit a formal request for the removal of any aforementioned information.
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By checking this box, I agree to the above statement.
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