Video Submit Form

Submit Your Caregiving Story To Be Featured

WHUT Cares! How do YOU Caregive?
Name*

First NameLast Name
E-mail*
example@example.com
Are You A Veteran?*

YesNo
Are You Caring For A Veteran?*

YesNo
Who Are You Caring For?*

Child (under 18)Adult Child (ages 18-59)Older Parent or RelativeOther
Condition Caring For?*
Race / Ethnicity*

Non-Latino WhiteAfrican American / BlackLatino / HispanicAsian American or Pacific IslanderMultiracialPrefer Not To Say
Tell Us Your Story!*
Upload Images*

Cancelof
Upload Videos

Cancelof
Make sure your video is no longer than 5 minutes.
Make sure you own the right to use all music & images on the video.
Make sure your video or images does not containt unappropriate language, images, or sounds.

I acknowledge that WHUT may use my submission for promotional or editorial purposes, including but not limited to their website, social media platforms, on-air broadcasts, or any other station-related use.
Do You Agree to the Terms Above?*

Yes
Please verify that you are human*
Should be Empty:

Submit Your Caregiving Story To Be Featured