Blog Consent Form

Name*

First NameLast Name

Email*

example@example.com

Phone Number

Area CodePhone Number

I am at least 18 years of age*

YesNo

Your consent is required in order for Jane Doe No More to post your Blog on its website. The personal information we collect may include your first and last name, email address, photo or video if you email or text Jane Doe No More or any of its volunteers. Any personal information provided to us is specifically used for your relationship with Jane Doe No More. Jane Doe No More will use reasonable means to maintain the confidentiality of such information. At no time is any information collected sold to any third party for any commercial purpose.

Please review the Jane Do No More Privacy Statement which is available here: Data Protection and Privacy Statement You may revoke your consent at any time by subsequent email to info@janedoenomore.org

If you consent to the collection and use of your personal information by Jane Doe No More, please indicate your consent below.

This is to certify that I, FULL NAME* , do consent and agree to the collection and use by Jane Doe No More Inc. of my personal information.

Would you like us to publish your full name along with your blog?*

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What name would you prefer to use?*

Signature*

Please have your parent or guardian contact info@janedoenomore directly to make the necessary arrangements in order to have your blog submission posted to our website.