• Community Partner 🤝

    Apply to join our outreach and awareness efforts for maternal heart health.
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  • Organization Connections

    Let’s educate. Support. Empower.
  • Format: (000) 000-0000.
  • Do you have connections to hospitals, clinics, birth centers, churches, or community organizations?*

  • Awareness & Outreach

  • Would you be comfortable sharing LetsTalkPPCM content on social media?*
  • Would you be comfortable sharing your PPCM story via Zoom chat or Live?*
  • Would you be interested in helping during campaigns, awareness week & heart month?*
  • Would you like to become a Vendor to represent LetsTalkPPCM at health events?*
  • Would you be interested in donating or sponsoring a project or program?*

  • Recognition & Communication

  • Would you like to receive updates about workshops, outreach opportunities, and events?*

  • VOLUNTARY STORY CONTRIBUTION & PUBLICATION CONSENT


    I understand that my participation with Let’sTalkPPCM is voluntary and unpaid. By submitting my personal story, photographs, videos, testimonials, or participating in an interview, I am voluntarily contributing to Let’sTalkPPCM's educational, advocacy, and maternal heart health awareness efforts.

    I grant Let’sTalkPPCM permission to publish, reproduce, edit for clarity or length, and distribute the materials I voluntarily provide through its website, digital or print magazine, social media platforms, newsletters, educational materials, media campaigns, and other organizational communications.

    I understand that:

    My participation does not establish an employment, independent contractor, or paid ambassador relationship with Let’sTalkPPCM.


    I retain ownership of my original written story and photographs, while granting Let’sTalkPPCM a nonexclusive, royalty-free permission to use the materials for its organizational purposes.


    My story may be edited for formatting, clarity, and length without intentionally changing its meaning.
    I am not required to promote Let’sTalkPPCM or participate in future activities.


    I may request that Let’sTalkPPCM discontinue future use of my submitted materials. However, previously printed, published, distributed, or shared materials may not be fully retractable.


    I am voluntarily sharing my personal experiences and am responsible for ensuring that I have permission to submit any photographs or materials belonging to others.


    By signing below, I acknowledge that I have read and understand this consent and voluntarily agree to the terms outlined above.

    Volunteer/Story Contributor Name: 

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