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:

Please upload your letter in either Word or PDF file format

Please include any pictures relevant to this letter

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.

By signing below, I consent to the terms above.