ALS may have touched our community in many different ways. We’d love to hear how ALS has impacted your life or someone close to you. Our goal is to connect the Bay Club community through shared experiences with ALS—honoring the human stories that matter most and our shared mission to find a cure.

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* 1. Full Name (First and Last)

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* 2. Email

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* 3. Phone Number

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* 4. Home Club

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* 5. Has ALS touched your life personally, or the life of someone in your community?

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* 6. Please share anything you’d like us to know about your experience with ALS.

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* 7. Please submit a photo of yourself.

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* 8. Video submission (optional): If you would like to share a short video (90 seconds or less), please record it on your phone in a clean, quiet setting with minimal background and email it to: Carly.Easterbrook@bayclubs.com & Ashlyn.Hertzberg@bayclubs.com.

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* 9. Your personal information will remain confidential and will not be shared. By submitting your video, you grant permission for Bay Club to share your first name and video on Bay Club channels, including Instagram, Bayclub.com, and LinkedIn.

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