Mission Moment
Name
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First Name
Last Name
Participant Name (If included in your story)
First Name
Last Name
Phone Number
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Email
example@example.com
Mission Moment
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I give permission to Meals on Wheels of Hillsborough County (HCMOW) to use the video and photos of my image and/or voice, and use my name and/or story in printed and digital media on behalf of the agency and in agency publications of any kind, including but not limited to:
-Website and social media platforms -Marketing, educational, and news-related materials -Grant applications and reports
I understand that no royalty, fee, or other compensation shall become payable to me by reason of such use and that I may not be informed in advance of the specific use of my image. Videos, images, and written stories will become the property of Meals on Wheels of Hillsborough County in perpetuity. I understand that this release will remain in effect unless I revoke my consent in writing. Videos, images, and stories will be stored in a secure location and only authorized staff will have access to them. They will be kept as long as they are needed, and after that time, destroyed or archived.
Volunteer Signature
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