Your Name*

Your Email* (No worries! Your email address will not appear on the website)

Story Title*

Your Story*

Include a photo with your story*

Photos must be at least 300x300 pixels high.
Accepted file types: .jpg .jpeg .png

Agreement: I hereby agree that all information and images that I am submitting are my own and not copied or the property of someone else. I acknowledge that my story may not be posted (at the discretion of The Epilepsy Network) if my content is deemed inappropriate, offensive or discriminatory in any way.

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