KrabbeConnect

Connecting Patients and Research

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Recognize Your Heroes

To submit a photo of your hero, please provide:

  1. A high resolution image, if possible
  2. The first name you’d like to display and initial of last name
  3. The city and state of pictured individual
  4. Complete Permission to Use Photograph form below

  • I grant KrabbeConnect the right to use the attached photograph of my child in connection with the above identified subject. I authorize KrabbeConnect, it’s delegates and agents to copyright, use and publish the same photo in print and/or electronically.

    I agree that KrabbeConnect may use the attached photography of my child with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content.

    Last sentence should read: By typing my name in the fields below I have read and agree to the release of my child’s photo.

  • For Our Records Only, will not be displayed publicly.
  • For Our Records Only, will not be displayed publicly.
  • For Our Records Only, will not be displayed publicly.
  • For Our Records Only, will not be displayed publicly.

  • Your Hero

  • (Ex. Jane D.)
  • Please upload a photo in as high of resolution as possible. Files must be JPG or PNG format. Max file size is 5MB.
    Accepted file types: jpg, png, jpeg, jpeg, Max. file size: 5 MB.
  • This field is for validation purposes and should be left unchanged.

Join Our Mailing List

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Contact Us

KrabbeConnect
P.O. Box 264
Rosemount, MN 55068-0264

(651) 252-4117
Info@KrabbeConnect.org

OUR VISION

A day in which each patient receives an early diagnosis, has access to state-of-the-art care, and lives a life free of Krabbe disease.