Submit Your Story of Hope Donate Life California seeks to inspire all Californians to register as organ, eye and tissue donors. Our Stories of Hope help us do that by telling the stories of everyday people whose lives have been saved or healed by donation, and of donors and donor families who make life-saving transplants and healing procedures happen through their Gifts of Life. Whether you're a transplant recipient, a living donor or a donor family member, we invite you to share your Story of Hope. Your InformationName*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Are you a member of any organization?*YesNoName of OrganizationOrganization WebsiteContact InformationPlease provide your contact information in the event we need to reach you regarding the information submitted here.First Name*Last Name*Title*Email* Enter Email Confirm Email Phone*FaxYour StoryFull name of donor, recipient, or donor family member*Picture(s)* Drop files here or Accepted file types: jpg, gif, png, eps, tif. (Acceptable formats .jpg, .gif, .eps, .tif)Tell us about the donor, recipient, or donor family or family members. Please be as specific as possible and tell us as much as you know.Consent for Use of Name and Likeness*By entering your full name into the text box above, you consent to the use of your and/or your loved one's name, story and likeness for the sole purpose of promoting organ donation. You understand that the use of your and/or your loved one's name, story and likeness may include, but is not limited to the Donate Life California and Living Donation California websites and social media platforms, photographs, newspaper articles, brochures, displays, television, radio, or any other public community relations material. You hereby acknowledge that this authorization is volunteered without obligation of any kind on the part of Donate Life California, Living Donation California, partners, their employees, and designated agents. This authorization is given without hope or expectation of reward or compensation of any kind. You hereby waive your right to inspect or approve any materials which may from time to time be created by Donate Life California, Living Donation California and partners, which may include your and/or your loved one's name, story, image, photo, likeness or voice. You, together with your heirs, assigns, agents, guardians and legal representatives hereby release Donate Life California, Living Donation California and partners from any and all claims, liabilities and losses that may arise from its use of your and/or your loved one's name, story, image, photo likeness and voice.How may Donate Life California be of further assistance to you?For any other questions, please call us at (866) 797-2366 Extention 4CaptchaEmailThis field is for validation purposes and should be left unchanged.