Clone of Wave of Light Video Submission

Tiny Footprints on Our Hearts

These heartfelt videos will be part of a tribute collage, a meaningful way to celebrate the love and memories we hold close. Deadline for submissions is October 8th. Your tribute will be part of our Wave of Light ceremony, shining brightly in remembrance of the little ones who may not be with us physically but are forever imprinted on our hearts.
Name*

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Make sure your video is no longer than 15 seconds.
Make sure you own the right to use all music & images on the video.
Must be 18 years or older. Minors must have parent or guardian permission for submissions.
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I hereby give my consent to Bingham Healthcare/Grove Creek Medical Center to use my image, video, voice, or any combination thereof, in the item described above. I understand that I waive any right to inspect or approve the finished video or audio recording. I agree that all such pictures, video, audio recordings, and any reproductions thereof will remain the property of Bingham Healthcare/Grove Creek Medical Center, and they may use them as they see fit.

I understand that this consent is perpetual, non-revocable, and binding. I acknowledge that these images or recordings may be used publicly, including on the internet, for both internal and external purposes. It is understood that the material will be used appropriately and is not intended to cause harm or undue embarrassment to the individuals involved.
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Tiny Footprints on Our Hearts