YOUR INFORMATION
Your Name
*
Email
*
ABOUT YOU
How would you describe yourself?
Student (K–6)
Middle or High School Student
College Student
Senior (Age 55+)
ASB Member
Yearbook Staff
Athlete (Softball, Volleyball, Cheer, Dance, Track, etc.)
Artist
Club Member (Art Club, Interact, Key Club, etc.)
Wellness Center Participant
Business Owner or Team
Parent or Family Member
Community Volunteer
Other (please describe below)
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How would you describe yourself?
Other Description (Optional)
If "Other", please describe.
YOUR LEGACY MAKER STORY
Tell us your Legacy Maker story!
What inspired you to give, create, climb, serve, or take action?
WHAT YOU DID TO MAKE AN IMPACT
What type of Legacy Activity did you do?
Created artwork to help fund a surgery
Led a fundraiser or team project
Hosted an event
Wrote letters of gratitude or encouragement
Saved money toward a $1,000 surgery
Organized a business or corporate giving challenge
Completed a mountain climb or physical challenge
Spread awareness through social media
Something else (describe below)
Describe your activity (Optional)
Tell us more about what you did.
SENIORS ONLY (AGE 55+)
How did your wisdom or experience inspire your act of generosity?
REFLECTIONS
What surprised or inspired you the most?
Did this experience change you? (Optional)
PERMISSIONS & COMMUNICATION
May we share your story publicly?
Yes, please share it!
Yes, but use only my first name.
You may share my story, but keep my photo private.
No, please keep my story private.
Would you like updates on the children we save together?
Yes
No
FINAL
Anything else you'd like to share?
Permission to Share
I give permission for Courageous Hearts Legacy Club to share my story (and photo, if provided) on their website, social media, and materials.
Stay Connected (checkboxes)
Yes, keep me updated on new stories and impact.
I’d love to learn more about saving children’s lives through Courageous Hearts Legacy Club.
Share My Legacy Maker Story
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