Faces of Mansfield

Faces of Mansfield Submission Form

Mansfield State Historic Site
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Please fill out the following for the person you are submitting:
First Name* Last Name* Unit served in (ex. 28th La Infantry)*
Please give a description of the person you are basing your submission on. Please include their name, unit they served in, service record, etc. Include as many details as possible. Please list other battles they fought in.
File Upload

Please upload any primary documents such as service record, pension application, muster roll, etc. to help us vet this submission for authenticity. Also upload photos here.
Cancelof
By signing below you are agreeing to the following:

I, the undersigned, hereby grant Mansfield State Historic Site/Louisiana State Parks the absolute right and permission to use my photograph(s) in any manner or media, including, but not limited to, the following purposes: educational materials
Publications, Advertising and promotional materials, social media platforms, Websites,
Press releases.

I understand that I will not receive any monetary compensation for the use of my photograph(s).

I grant Mansfield State Historic Site/Louisiana State Parks the following rights:

The right to edit, alter, copy, or distribute the photograph(s) for any lawful purpose.
The right to use my name in connection with the photograph(s) if they choose.

I hereby release and discharge Mansfield State Historic Site/Louisiana State Parks, its employees, agents, and representatives from any and all claims, demands, or causes of action that I may have now or in the future for defamation, invasion of privacy, or violation of the right of publicity or any other right arising out of or relating to the use of the photograph(s).
Signature
Should be Empty:

Faces of Mansfield Submission Form