Share Your Story Bank of America Chicago Marathon

Your story can motivate and inspire many. If you are willing to share your story to raise awareness of polycystic kidney disease and/or share your enthusiasm in running as part of a Run for PKD team, please fill out the form below. Your story could help make a difference!

 		 
 

Share Your Run for PKD Story

All fields marked with a * are required before submission.



















 

Run for PKD Personal Release


   











   



I hereby grant to the PKD Foundation, your successors, and assignees the right to reproduce my likeness and incorporate same for the use in PKD Foundation publications and videos and to use or authorize the use of such likeness and other factual and approved information concerning me in connection therewith, but not the endorsement of an product or service.


I hereby release you and anyone using said likeness or other material from any and all claims, damages, liabilities, costs, expenses, which I now have or may hereafter have by reason of any use thereof.


I understand that the provisions of this release are binding.

Submit      

 
   
©2012, PKD Foundation  ·The PKD Foundation is a 501 (c)(3), 509 (a)(1) public charity.