Name: Your Story Can Be Submitted Anonymously Email: * Disclaimer: Your email address will be viewed only by Embrace Fund's website administrator. Embrace makes every effort to ensure the privacy and confidentiality of the information provided through 'Your Story' portal. Your Email Gender Female Male Prefer not to answer I am - None -18 - 2425 - 3536 - 4445 - 5455 - 6464 - 7980+ Can we publish your story? * On Facebook? On our Website? In a book to raise money for Embrace? No, please do not publish my story Submit Your Story: You can submit your story in Arabic, French or English. Please keep it to less than 2000 words. How would you like your name to appear on the story? * Anonymous Initials First name only First and last name Are you member of Embrace? Yes No No, but I would like to become a member Upload your story Files must be less than 2 MB.Allowed file types: txt pdf doc docx. What code is in the image? * Enter the characters shown in the image.