Alex's Lemonade Stand Foundation for Childhood Cancer

Children under the age of 16 are required to have a parent or guardian complete this form. The primary contact must be an adult, and receive permission from the hero and/or family. We require a telephone number of the parent/guardian to obtain permission to post the hero on our site.

ALSF only uses the hero's name, location, story, and photo information below; all other information is for office use only.