Support a suicide attempt survivor by adding their name to our Wall of Hope. By using the form below, you agree to abide by the terms and conditions listed below.
If the Honoree is someone other than you, please list their email address in the field below so that we can secure written permission from them to include their information on this website.
Your Full Name:
Your Email:
Honoree’s Name:
Email for Honoree (if you are submitting someone other than you):
Comment:
I agree to the Terms and Conditions
Terms and Conditions: By submitting the information above, I represent and warrant that all information submitted by me on this website is truthful and accurate. I agree that only I am responsible for the veracity and accuracy of the information submitted by me, and that only I will be responsible for any claims, damages and losses suffered by me or any third party as a result of my failure to provide truthful and accurate information. I agree that I may not submit information about an individual other than me on the Wall of Hope without providing us with an accurate email address so that we can secure the necessary consent. Neither The S Word Movie nor any of its affiliates, members, managers, employees, agents or contractors will be responsible for any claims, damages and losses suffered by me or any third party as a result of any failure to comply with these terms.
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