Please give as much detail as you can - we try to match the media's requirements as closely as possible to ensure neither your nor their time is wasted. If you need more space, please fill in what you can, then send a separate email with the additional information to us at firstname.lastname@example.org headed "Additional Information for Family Factsheet for Media".
Telling our stories of how group B Strep has affected us - whether it's during pregnancy, during the labour and delivery, or after our baby was born - is hugely powerful and brings home the reason why awareness is so important. Thank you so much for being willing to do this.
PLEASE NOTE: We will not share your contact details with anyone without your permission. Completing the form indicates you are willing to speak to the media in principle (you're not authorising us to share your information - that comes later). Once you've submitted the form, we will get in touch with you.
There'll be space at the end for you to add in extra information that we haven't specifically asked for.