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Photo/Information Release

I herby grant permission for City Union Mission to use my photograph and/or video and/or information about me for the purpose of publications, promotion or any other use they deem necessary. I understand my photograph/video/information about me may be used for fund raising purposes. I understand that I cannot expect compensation for use of these photos or stories.

*By completing the fields below, you are electronically signing this form

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If under 18, please provide full name of parent or guardian.

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