Community Event Story Sharing Consent Form
Share your community event story and grant permission for us to use your submission. Please complete all sections below.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Event Name or Title
*
Date of Event
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Event Location
*
Please share your community event story
*
Upload photos or media related to your story (optional)
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Do you give permission to share your submitted story and media for the community event?
*
Yes, I give permission
No, I do not give permission
Submit Story
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