Thank you for supporting our mission. We would love to share your story to inspire others and demonstrate the impact of our work. Please review and complete this form to give us permission to use your story, name, and related materials.
Donor Information
Consent and Release
By signing below, I voluntarily give ("the Organization") the right to use my story, name, likeness, and any related materials I have provided, in print and digital media, for fundraising, promotional, and educational purposes. I understand my story may be edited for length or clarity.
I acknowledge that I will not receive any compensation for such use. I understand I may request at any time for my story to be withdrawn from future materials.