2017 Through My Eyes Contest Submission Form

  • Name
  • Please indicate which best describes you.
  • Please provide the name of the eye bank with which you are affiliated; if submitted by an eye bank, please provide the eye bank name:
  • Please select the type of submission.
  • You may upload your photograph or drawing/painting here. If you are submitting a video, please send it via dropbox or e-mail to yolanda@restoresight.org, or send it to EBAA: Attention Yolanda Raine, 1101 17th St. NW, Suite 400, Washington, DC, 20036, on a disc or flash drive.
    Drop files here or
  • Please provide context for your submission, explaining how it is a testament to your journey of receiving sight or giving sight through your loved one:
  • By clicking "submit," you acknowledge that your submission becomes property of EBAA and may be used on the EBAA website, in EBAA publications or through other media.