Media Consent Form
for Project Learn of Summit County
Name
*
First Name
Last Name
Date
*
-
Month
-
Day
Year
Date
Project Learn of Summit County has permission to use my images or personal information on social media—examples include but are not limited to Facebook, Instagram, Twitter, and the Project Learn of Summit County website, marketing materials, videos and/or photos.
*
I AGREE
I DISAGREE
Signature
*
Submit
Should be Empty: