By filling out this form you declare that you are either sharing your story as an Impacted or as a family member or friend of an Impacted.
We are always looking for strong stories and ways to help those who have been impacted by motorcycle related accidents. Though we will not give your personal information to any third parties, we may contact you personally to discuss potentially sharing your story on our website and/or Facebook page, as well as other possible ways to bring awareness to your individual situation through special events, fundraisers or charitable sales.
Please be as detailed as you are able as you relay your message below. There is also a place where you can feel free to upload photos, x-ray images, etc. to be submitted with your story. Nothing you submit will be publicly shared in ANY way without your explicit permission.
Every story is unique and deserves to be heard. Thank you in advance for sharing yours!