Lung Pose Form

Instructions

For the best results, make sure that your arms are fully visible in the photo. You may need to step back about 4-6 feet from the camera to ensure your arms are within the frame of the photo. See the two examples below:

Correct! ✅

The arms are fully visible within the frame of the photo.

Incorrect ❌

The arms are not fully within the frame of the photo.

*First Name

*Last Name

*Email Address

*City

*State

Tell us why Pulmonary Fibrosis Awareness Month is important to you and why you're participating

*Please attach a photo (up to 4)

Add another

Do we have your permission to share your photo and story on our social media pages?

Yes

No

Send us your lung pose

Instructions

Correct! ✅

Incorrect ❌