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

If under 18, please provide full name of parent or guardian
(XXX) XXX-XXXX