Steps Against Melanoma 2026 Honoree Questionnaire

Your Name(Required)

First Last

Your Email Address(Required)

Email Address Confirm Email Address

Melanoma Survivors: If you’re comfortable sharing: What type and stage of melanoma were you diagnosed with?

Consent for Use of Story & Photo

Yes, I give permission

No, I do not give permission

I give permission for my story and photo to be shared on social media and the website.

FOR MELANOMA SURVIVORS: What would you like others to know about you – your interests, personality, or what you love?

FOR MELANOMA SURVIVORS: How has melanoma changed the way you view life or what you focus on now?

FOR MELANOMA SURVIVORS: Why is this walk meaningful to you?

FOR HONORING SOMEONE WHO HAS PASSED: How would you describe them—their personality, what they loved, or what made them who they were?

FOR HONORING SOMEONE WHO HAS PASSED: What would you like people to know about the person you’re honoring?

FOR HONORING SOMEONE WHO HAS PASSED:3. Why is this walk meaningful to you?

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