Virtual Tribute Video Submission Form

Submit a Photo of Your Child

Your First Name

Your Last Name

Relationship to child

Child's Name As You Would Like It To Appear

Type of Cancer(s)

City and State (List country if you live outside of the US)

There are two virtual tribute videos. One for fighters/survivors and another for children who have passed away. In which video should your child be honored?

Survivor/Fighter Video

In Memory Video

Date of Birth (for Memorial Video)

Date of Death (for Memorial Video)

Upload a high-quality image of your child that you would like featured in the tribute video. Individual photos of the child are preferred over group photos. Please do not include images with text or other graphics.

Upload Photo

I grant permission to the Arms Wide Open Childhood Cancer Foundation and its campaign, CureFest, to utilize this submitted image and information to honor my child in a virtual tribute video which will be hosted online and shared on social media.

Thank you for submitting your child's photo for the virtual tribute video.