Bear It For Breast Cancer

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Name
First Name
Last Name
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Nickname/Preferred Pseudonym for Site OPTIONAL
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Who Are You Bearing It For? Can Be as Specific or Vague as You'd Like
Name of Who You Are Bearing it For
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Clothed Photo(s) Containing Your Face
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
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Photo ID (Front) for Verification. Will Be Encrypted and Only Viewed Upon Compliance with Legal Purposes
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Photo ID (Back) for Verification. Will Be Encrypted and Only Viewed Upon Compliance with Legal Purposes
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Your Topless/Nude Photos Containing FaceYour face will be cropped completely upon request
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
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Do You Wish to Have Your Face Cropped on the Site
YESNO
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Would You Like a Bear Sent to You
YESNO
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Address OPTIONAL (If it won't let you continue unless you fill something out just write gibberish)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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Do You Want Your Photo Behind a Paywall?
YESNO
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Would you like your photo to be shared in a members-only/submitter-only gallery? The only people who would see your submission(s) are others who submitted. It would be a way for those who are struggling personally or know someone else, to find comfort within symbolic advocacy
YESNO
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Would you like your name/pseudonym to be included in a list of participants?(If no, your submission's photos would appear but there would be no name attached/you couldn't be searched "by name" or anything)
YESNO
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Additional Comments on How You Would Like Your Submission to Be Handled? Testing Idea: Your Breasts/Genitals-Only Would be Place on a Stock Photo Stuffed Bear to Completely Hide Identity. Do You Have Thoughts On This Idea?
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Terms and Conditions* This field is required. Right to Withdraw: You have the right to withdraw your consent at any time by contacting the following email: BearItForBreastCancer@Proton.me. Upon withdrawal, your photo(s) will be removed from any future fundraising efforts. Disclaimer: "Bear It for Breast Cancer" reserves the right to review and reject any submissions that are not in line with the initiative's mission or that may be deemed inappropriate. Privacy Policy and Permissions Confidentiality: Your personal information, including your name and email address, will be kept confidential and will not be shared with any third parties without your explicit consent. Photo Use: By submitting your photo, you agree to allow "Bear It for Breast Cancer" to use the image for fundraising purposes. Photos may be placed behind a paywall, with proceeds going to breast cancer research. Face Visibility: If you have chosen to include your face in the photo, please be aware that it may be publicly visible if you have opted for public sharing. Data Security: We take your privacy seriously and will use industry-standard security measures to protect your data. Agreement and Legal Disclaimers Consent: By submitting this form and your photo(s), you confirm that you are at least 18 years old and voluntarily consent to participate in the "Bear It for Breast Cancer" initiative. License: You grant "Bear It for Breast Cancer" a non-exclusive, royalty-free license to use yoursubmitted photo(s) for the purposes outlined in this initiative.
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