Stagestep image, video, story release
I grant permission to Stagestep, Inc. to use my story, video, and/or images provided by me or taken of me relating to Stagestep's Hurricane Assistance. Without further notification, the materials may be used for Stagestep publications.

This release includes the use in both internal and external publications, such as: website feature articles, social media posts, donor letters, grant applications, and general publicity.

I release Stagestep, Inc. and its employees from any claims, damages, or liability.

-I am at least 18 years of age and competent to sign this release.
-I have read this release before signing and I understand this agreement and accept the terms.
-I understand that this document will be submitted electronically.

By inserting my name I agree to the terms and conditions.
Deadline is March 1, 2019.
Email address *
Applicant First Name *
Applicant Last Name *
Email *
Today's date *
MM
/
DD
/
YYYY
Zip Code *
Phone number *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service