Submit a Survivor Story

1. Thank you for considering telling your story to the YSC community. By sharing your experience with others, you may serve as both a source of inspiration and a reminder that if you are a young woman with breast cancer, you are not alone. To submit your story, please complete the form below.

If you have previously registered, please login here to prepopulate your information.














Date of Birth:


If you respond and have not already registered, you will receive periodic updates and communications from Young Survival Coalition.



Please enter a user name and password for logging in when you return. You can use this password to update your information or receive personalized content.


5 to 60 characters


5 to 20 characters





Question - Required - When were you diagnosed?

Question - Required - With what type of breast cancer were you initially diagnosed?

Question - Required - How was your initial cancer detected?

Question - Required - What was your stage at diagnosis?





If you would lilke your photo posted with you story, please send it in either .gif or .jpg format to Please be sure to include your first and last name in the body of your email and note that the photo should feature only the subject of the story.

Question - Required - With which ethnic/racial group do you most closely identify?

Question - Required - Do you identify as:

   Please leave this field empty