Name: Email: * Disclaimer: Your email address will be viewed only by Embrace Fund's website administrator. Embrace makes every effort to ensure the privacy and confidentiality of the information provided through 'Your Story' portal. Gender Female Male Prefer not to answer I am - -18 - 2425 - 3536 - 4445 - 5455 - 6464 - 7980+ Can we publish your story? * On Facebook? On our Website? In a book to raise money for Embrace? No, please do not publish my story Submit Your Story: How would you like your name to appear on the story? * Anonymous Initials First name only First and last name Are you member of Embrace? Yes No No, but I would like to become a member Upload your story Files must be less than 2 MB.Allowed file types: txt pdf doc docx.