REQUEST TIME!

If you or someone you know, would benefit from receiving a copy of Shining Scars, children’s book, please complete the form below. We look forward to hearing from you. Keep shining bright!

Please complete the form below

Name

First Name

Last Name

Do you have a physical scar or difference?

Yes, I personally have a scar/physical difference

No, but am writing on behalf of someone special who has a scar/physical difference.

What is the age of person you are requesting on behalf of.

Message

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Do you have a special someone who would benefit from a copy of Shining Scars, children’s book? Or would you like to book Krystian to speak at your next event or civic group? Please fill out the information above, and include in the message, the details of who you would like Shining S.C.A.R.S. to reach out to.

Thank you!