Our als stories

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• Date of Birth*
• Parent Contact Information*

Original Creative Work Submission

• Attach materials
• Please read the following statements and indicate your acceptance of them by accepting below:
  • I am a teenager or young adult 12-25 years old, living in the United States and have been affected by ALS (e.g., parent/loved one with the condition).
  • I hereby acknowledge that I have read, understand and agree to be bound by the detailed Terms & Conditions of the ALSO US program.
  • The content of my original creative work (hereafter “Submission”) is an original, of which I am the sole creator and owner.
  • I understand that some of the Submissions received may be featured on the program website (www.alsousart.com) and/or on MTPA’s social media channels.
  • If the Submission shows the likeness of any person(s), I confirm that any such person(s) (or his/her parent or legal guardian, if the person is under age 18) has given permission for use of their likeness in the original creative work and for use in this submission as described in the program Terms & Conditions.
• Please check if applicable:
  I am interested in telling my personal story regarding ALS, possibly to media or other interested parties (e.g., advocacy groups). You may contact me by phone or email to discuss further.
  Please accept Terms & Conditions*
  I hereby submit my original creative work to the ALSO US program and agree to abide by the official Terms & Conditions.
  Parent/legal guardian agreement*
  Submit