Letters from a Chingona y Chingón submissions

Letters from a Chingona y Chingón submissions
Name

First NameLast Name
Email
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Cell Phone Number
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City & State
Are you 18 years of age or older?
Yes or No
Title of you letter
Would you like you letter to be:

Published with your full namePublished with your first name onlyPublished anonymouslyType option 4
Please upload your letter in either Word or PDF file format

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Please include any pictures relevant to this letter

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Submission Waiver and Consent Form
Letters from a Chingona y Chingón

Thank you for contributing your story to Letters from a Chingona y Chingón, a storytelling project created and curated by Linda Ramirez. This form ensures that we have your consent to use your submission as part of this cultural and community-based initiative.
I understand and agree to the following: Creative Ownership & Project Use- I acknowledge that Letters from a Chingona y Chingón is an original project created by Linda Ramirez. By submitting my story and/or media, I grant Linda Ramirez and any affiliated nonprofit fiscal sponsors the right to publish, share, adapt, or publicly present my submission across platforms—including exhibits, social media, websites, blogs, newsletters, and future publications (such as a documentary, book, or educational material). Originality, I confirm that the content I am submitting (written or visual) is my original work and does not infringe on the rights of others. Consent to Share- I give permission for my submission to be included in public-facing materials, unless I indicate a preference for anonymity or limited use below. Photo/Media Consent (if applicable) If I upload a photo, video, or artwork, I grant permission for it to be used in the same way as the written letter.

I consent to the above terms and give permission to use my story and any images I submit.I do not consent and prefer to withdraw my submission.I give permission for my voice or photo to be used in audio/video materials (if I participate in future interviews or recordings).
By signing below, I consent to the terms above.

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