Post Your Photo and Story - Trisha Thompson Pritikin

Trisha Pritikin — Take a photo like this.

Thank you for your help in making us all visible!

Send us your story, and/or your questions, or
Post a photo of yourself now. Follow the instructions for “Option One: Post Photo With Sign” below, or
Post a photo of someone else now. Follow the instructions for “Option Two: Post Photo Without Sign” below.

Option One: Post Photo With Sign

Option Two: Post Photo Without Sign

Photo without sign*
- I am posting a photo without a sign, such as a photo in memory of a radiation-exposed friend or family member
Follow these steps to post a photo without a sign:
1. Make sure you have a digital version of the photo in your computer.
2. Print out, fill in, sign and scan or photograph the permission form: Permission Form for Photo without Sign.
3. Upload your photo and permission form below.
Your Name*
Your Email*
Name of Person in Photo (Name Will Not Appear Online)
Relationship to You (For Example, "Father," "Friend," "Self," Etc.)
Name of Nuclear Facility, Testing Site or Exposure Source
Residence at Time of Exposure (City, State, Country)
Specific Health Impacts. Hold down the control key to select more than one.
*If "Other" selected above, please list here
If the person in the photo is deceased, which illness was the specific cause of death?
Was this person exposed in childhood (before age 18)?
- Yes
- No
Upload your photo here
Accepted file types: jpg, png, doc, docx, pdf, Max. file size: 128 MB.
Upload your permission form here
Accepted file types: jpg, png, doc, docx, pdf, Max. file size: 128 MB.

Thank you for your help in making us all visible!

Option One: Post Photo With Sign

Option One: Post Photo With Sign

Option Two: Post Photo Without Sign

Option Two: Post Photo Without Sign

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