Please submit the form below (and attach a Word document with your child’s story) and the Northwest Indiana Cancer Kids (N.I.C.K.) Foundation will post your story here on their website.

• Parent Name:*
• Parent Email:*
• Child's Name:*
• Upload Your Child's Story*
  Accepted file types: doc, docx, pdf, Max. file size: 50 MB.
• Upload Your Child's Picture*
  Accepted file types: jpg, jpeg, png, gif, Max. file size: 50 MB.
• Comments:
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