Submit Your Story

Please keep in mind that the videos published on our website will be accessible to anyone with internet access. Once published on our website, the My Authentic Life campaign cannot be responsible for or monitor who sees the video or who reposts it.
My Authentic Life: Share Your Story!
URL to video of photo:
1. Name: *
2. Email: *
3. Phone:
4. Your story, quote or comments:
5. URL to photo or video:
6. Photo or Video Attachment: