Disaster Relief Beneficiary Photo Consent Form
Please provide your consent regarding the use of your photos for disaster relief efforts.
Full Name
*
First Name
Last Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Consent for Use of Photos
*
I consent to the use of my photos for disaster relief efforts, including promotional and informational materials.
I do NOT consent to the use of my photos.
Signature (Please sign below to confirm your selection)
*
Submit Consent
Submit Consent
Should be Empty: