Faces of Connecting for Kids
Thank you for volunteering to be one of the Faces of CFK. Through this awareness program, we hope to help other parents of children who struggle by making a connection.
Your Name *
Your answer
By checking the boxes below, you verify that you are eligible to complete this questionnaire and give Connecting for Kids consent to share your profile, including photos and story, on our website, newsletter, and through our social media accounts.
I am at least 18 years of age. *
For valuable consideration received, I hereby grant to Connecting for Kids and his or her legal representatives and assigns, the irrevocable and unrestricted right to use and publish the information and photographs I disclose for marketing and advertising purposes including but not limited to website, social media, posters, brochures, grant proposals and any other purpose and in any manner and medium; and to alter the same without restriction. I hereby release Connecting for Kids and his or her legal representatives and assigns from all claims and liability relating to said information and photographs. *
Contact Information
The following information will be used only to contact you during the editing process. It will not be shared publicly.
Email Address *
Your answer
City *
Your answer
Never submit passwords through Google Forms.
This form was created inside of Connecting For Kids. Report Abuse - Terms of Service