Step 1: Please fill out all of the information below Enter your email address Ok Already have an account? Login here Personal Information First Name * Last Name * Suffix Preferred Name Home Address * City * State * Zip * Household Address New Address Email * Home Phone Work Phone Cell Phone* I agree to receive text messages at this number. Date of Birth * Loading… June 2023 SunMonTueWedThuFriSat 2228293031123 2345678910 2411121314151617 2518192021222324 262526272829301 272345678 TodayClear JanFebMarApr MayJunJulAug SepOctNovDec OKCancel Gender Record Type Status Organizations: Please fill out the following information for the Write Stuff contest. All fields must be completed in order for your submission to be considered. Both the student and parent/guardian are required to consent by typing your names into the fields below. Child Consent: By typing my name and today's date below I agree that I have read the contest rules and agree that my submission is my own original work. I understand that my entry must reflect my own experiences, words and reflections (other than cited quotes and material). I understand that my entry may be displayed, in whole or in part, in print publications and on www.gck.org. Parent Consent: By submitting my electronic signature below, I give consent for my child’s participation in Gilda’s Club Kentuckiana’s Write Stuff Contest. I understand the goal of this program is to offer the chance to express oneself creatively while on a cancer journey. I understand that my child’s entry may be displayed, in whole or in part, in print publications and on www.gck.org. Category Category Portal OptionsGuest PortalYour Information ProfileYour Upcoming ActivitiesFamily InformationPassword ResetDonate OnlineManage Credit CardsCommunication PreferencesInvoice HistoryLogout