Become a maternal health Champion!

The Champion is for those that are interested and invested in the work of the Coalition and have a lived experience to share.

Champions receive the following benefits:

  • Opportunity to attend and receive training offered by the Coalition.

  • Opportunity to participate in media coverage, focus groups, surveys and advisory councils.

  • Special offers by member organizations or third parties.

  • Copies of branded promotional materials for use to support initiatives of the Coalition.

  • Opportunity to interact with other Member organizations at select times during the year.

Champions do the following:

  • Promote the Coalition’s mission, vision and purpose.

  • Participate and complete the Coalition's training.

  • Supply story of lived experience level of interest.

  • Share successes with the Coalition.

Submit Your Story
Risk Factor(s)
Please choose which areas your are interested in participating.
Share your story

Photos * Videos * Audio * Art * Writings * Stories


I hereby authorize and consent to the Preeclampsia Foundation, a US-based 501(c)(3) nonprofit organization (the “Foundation”), and its subsidiaries, affiliates, designees, successors, and assignees (collectively, the "Permitted Parties"), capturing, modifying and reproducing my image, likeness and voice through still photographs, video tape, digital photography, digital recording or any other means, including color, partial or composite renditions of the same, singularly or in conjunction with other recordings (all of which are collectively referred to herein as the “Recordings”) for advertising, publicity, commercial, business and/or any other lawful purpose(s) in any medium, whatsoever, for use in all domestic and foreign markets and on the Foundation's website (the “Permitted Uses”). In conjunction therewith, I hereby grant the Permitted Parties a world-wide, royalty free, perpetual, non-exclusive license to copyright, modify, publish, broadcast, and/or otherwise use Recordings of me for any one (1) or more of the Permitted Uses.


I agree that my likeness / voice / image may be edited and used by the Permitted Parties in whole or part for print, radio, cable, broadcast, or non- broadcast purposes, and/or for audio or video exhibition purposes in any manner of media, in perpetuity throughout the world.


I also hereby expressly consent to the Permitted Parties’ use of personal biographical information about me in connection with the Permitted Uses. I expressly release the Permitted Parties and all individuals and/or organizations involved in the production of Recordings from any privacy, defamation, or other claims that I may have arising out of the use of Recordings for any Permitted Use.


The Permitted Parties have my permission to use my photograph, art or written material, story, audiotape or videotape for training and education purposes, brochures, website, other promotional or informational materials for the purpose of educating or informing others about preeclampsia, the Foundation and its programs.


I understand that I will not receive compensation for any Permitted Use of any Recordings.

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MoMMA's Voices is a program of the Preeclampsia Foundation.

Preeclampsia Foundation is a 501(c)(3) non-profit organization, Tax ID# 91-2073087.

©2019 Preeclampsia Foundation. All rights reserved.