Tell us your story

Many with lupus want to know that they are not alone, that their journey is shared, that the adversity, and successes that each individual’s experience might give hope to another. Fill out the form below to share your story of hope with us and our lupus community in 75 words or less*, attaching a photo of you as well. This photo can be of you alone or with a loved one like a child or a pet! If you do not opt to send a photo, we will post your story with a lupus informational graphic. We would also love to hear how Kaleidoscope Fighting Lupus has helped you if you would be so kind as to share that information with us and our community.

  • Last name will not be used in SOH post
  • Email will not be used in SOH post
  • Max. file size: 300 MB.
  • Terms and Conditions

    The purpose of Tell Us Your Story is to give a face and voice to lupus. I understand that my participation is completely voluntary and that participation or non-participation will have no impact on my ability to use any part of the Kaleidoscope Fighting Lupus website.

    I further understand that the Kaleidoscope Fighting Lupus website is meant to be educational and is not meant to diagnose illness or replace normal health care services. By providing Kaleidoscope Fighting Lupus with information about myself and/or my diagnosis or other health information, I am not seeking, and I understand that Kaleidoscope Fighting Lupus is not offering to establish, a patient-health care provider relationship with me.

    I hereby consent to and grant Kaleidoscope Fighting Lupus the perpetual, irrevocable, assignable, royalty-free, worldwide right to use my copy, and other submitted materials or works of authorship and/or my image, portrait, photograph, likeness or other image(s) of myself and/or my signature, biography, quotes, endorsements or testimonials made by me (“My Story”), in whole or in part, including the rights to reproduce, sublicense, transfer, publish, distribute, publicly display, broadcast, download, transmit, modify and prepare derivative works, in any manner or media now known or later developed, for the marketing and sale of Kaleidoscope Fighting Lupus products and for any other business purpose or activity relating to Molly’s Fund Fighting Lupus. I agree to waive any right to inspect or approve our use of My Story, including written copy that may be created in connection therewith.

    I represent and warrant that I have the full right to grant all of the rights provided in this agreement.

    I understand that I will have no legal claim arising out of any use, editing or distortion of My Story. I, for myself and on behalf of my heirs, estate, insurers, successors and assigns, hereby release, indemnify and hold harmless Kaleidoscope Fighting Lupus and its officers, directors, employees, agents and representatives, with respect to any and all claims or causes of actions arising out of Kaleidoscope Fighting Lupus’ use of My Story, whether or not arising from the negligence of Molly’s Fund Fighting Lupus, to the fullest extent permitted by law.

    By submitting my story I understand that I will automatically added to the Kaleidoscope Fighting Lupus news and updates. I also understand that I will be able to opt out of receiving it at any time by clicking the “opt-out” link at the bottom of the newsletter.

    By clicking “I accept,” I am acknowledging that I have read and understand this agreement and agree to be bound by its terms and conditions.
  • You can also send your story to [email protected]

  • This field is for validation purposes and should be left unchanged.

*We reserve the right to edit your story/photo to fit with in our terms of use parameters. You will be automatically added to the monthly Kaleidoscope Fighting Lupus News and Updates after submitting your story. You will be able to opt out at any time by clicking the “opt-out” link at the bottom of the newsletter.