Phoenix Children's Hospital: Share Your Story

Share Your Story

We'd love for you to share your own story with us to celebrate Phoenix Children's Hospital's 25 years of service. All submissions are used for display on the timeline and will not be recorded or used for any other purpose.

* denotes required field.

Disclaimer *
I confirm that I am 13 years of age or older. We're sorry, but you must be at least 13 years old to submit this form. If you are not 13 years old or older, you need to have your parent or guardian submit the information for you.
You must agree to submit this form.
Step 1: Your Info

Let us know who you are.
Name First * Last First and Last name is required
Your First Name and Last Initial will be used in your entry unless otherwise specified.
City, State * Location is required

Let us know your location.
Email * Email is required. Email must contain @ sign.

Your email is needed to tell you when the story is approved or if we need to ask further questions.
Please don't display my first name or city and state with my story.
Check this box if you want to remain anonymous.
Affiliation *
Identify how you were affiliated with PCH.
required
Step 2: The Story

Tell us what magic happened while at PCH.
characters remaining
Story Title

The title will be displayed at the top of your story. (max 25 characters)
Exceeded maximum number of characters.
Tell Us Your Story! * Story is required.

The Story will be shown when a user clicks on your entry in the 25th Anniversary timeline.
characters remaining
Story Summary (like a headline) Summary is required.

Will be shown to users on the timeline when they rollover your entry with their mouse. (max 50 characters)
Exceeded maximum number of characters.
Date * / MM / DD YYYY number requiredyear required
Enter either the full date or at least the month and year it occurred.
Step 3: Add Photos

Share your memories with PCH and the community. You can upload your own or choose from one of ours. (optional)
Photo 1
Upload Your Own:

Or Use One of Ours:

Choose Image

NOTE: Your photo must be a JPG file. For the best quality results, please size your image to 275 x 275 pixels.
Photo 2
Upload Your Own:

NOTE: Your photo must be a JPG file. For the best quality results, please size your image to 275 x 275 pixels.
Photo 3
Upload Your Own:

NOTE: Your photo must be a JPG file. For the best quality results, please size your image to 275 x 275 pixels.
Step 4: Submit Your Entry

Please read the disclaimer before you attempt to submit your story for the Phoenix Children's Hospital 25th Anniversary Timeline.
Disclaimer * AGE RESTRICTIONS Phoenix Children's Hospital's interactive timeline is not geared toward children under the age of 14 and we will not knowingly accept or publish submissions from children under the age of 13. If children under the age of 13 want to submit their story, they need to have a parent or guardian submit the information collection form on their behalf. COLLECTION OF PERSONALLY IDENTIFIABLE INFORMATION The personally identifiable information we collect will only be used: to contact the submitter to verify their story, notify them when it is approved or denied, and follow-up for a possible feature story. These stories will be made publicly available, but personally identifiable information will be stripped from the story. Stories will only list the submitter's first name, city, and state. Phoenix Children's Hospital's website operator will not share any personally identifiable information with any third parties and will delete the information obtained when the interactive timeline becomes inactive. PUBLISHING ANONYMOUS STORIES Stories can be published anonymously, which means that you can ask that we eliminate your first name, city and/or state. You still need to provide us with your contact information so we are able to follow-up with you. At the discretion of Phoenix Children's Hospital's website operator, anonymous stories may be accompanied with Phoenix Children's stock photography when posted on the interactive timeline. USE OF PHOTOS By providing Phoenix Children's Hospital with your photos for use on the interactive timeline, you are consenting to their publication and understand that these photos will be viewed by anyone with access to the Internet. Publication of photos is under the discretion of the website operator and will be sized to fit within the defined constraints. No other editing of the photos will occur. You also acknowledge that you have the consent of all people depicted in the photo to publish their image on the Internet and you will be personally liable for any retribution associated with your submission of the photo. Phoenix Children's Hospital has the right to deny the publication of these photos or to require a signed authorization from every person in the photo. STORY CONTENT Any content that you submit will be published under the discretion of the website operator. Phoenix Children's Hospital has the right to exclude any story for publication on the interactive timeline. Phoenix Children's Hospital also has the right to edit the content for spelling and grammar – and you may be contacted to edit your story for clarity. Phoenix Children's Hospital is not liable for the accuracy of content and the content does not express or imply endorsement by the Hospital.
I acknowledge that I have read this disclaimer and privacy policy and I agree to the terms of use. You must agree to the terms of use to participate in this interactive timeline. If you have questions or concerns, please contact the Webmaster.
There are errors on the page, please review your information and correct it.

Share Your Story

Disclaimer *

Step 1: Your Info

Step 2: The Story

Step 3: Add Photos

Step 4: Submit Your Entry