Complete the form below and share your history with us. All entries will remain confidential. If we decide to use your stories or materials as part of our documentary project, we will contact you directly to obtain permission before we proceed. You many also choose to remain anonymous if you would like to send us information about a person or an event that you think would be important for this project.
Provide us with as much information as you choose. If you would like your story to be considered for the documentary, please be sure to provide your name and a way of contacting you.
For more information, contact Evelyn Bailey at email@example.com.