Portraits in Courage Submission Form

Calhoun County Relay For Life


Your Name ___________________________

Name of Person to be Honored 

_____________________________________


In Honor Of or In Memory Of (please circle one)


Type of Cancer ______________________



Please write a story of 250 words or less, as to why you 
would like to recognize the honoree. Please attach a picture
and email to bmckown@mhhcc.com or bring it to the annual Relay
for Life, Saturday June 26 at Wayne Underwood Field, Grantsville