You can always press Enter⏎ to continue
COVIDsitters Photo Request Form
Please use this form to provide us with a photo of you and/or your family so that we can consider posting it to the gallery at the top of the COVIDsitters page at medelita.com or in other media to support this effort.
7Questions
  • 1
    Press
    Enter
  • 2
    Type out how you would like it to be read, i.e. "Dan Stephens, RN"
    Press
    Enter
  • 3
    Example: Family Medicine
    Press
    Enter
  • 4
    Press
    Enter
  • 5
    Drag and drop files here
    Select files to upload
    Max. file size: 10.6MB
    Cancelof
    Press
    Enter
  • 6
    Uploading any photo through this website constitutes your acceptance of the terms and conditions of use outlined herein: 1) As the submitter of this photo, it is your responsibility to ensure that all photos you upload are your original works and intellectual property. You must hold all legal rights from the artist or photographer to submit this photo for posting to Medelita.com, and you personally accept any responsibility in regards to the posting of this photo. 2) If the photo is of an adult you have their permission to post this photo to Medelita.com. If the photo is of a minor child, you have both the permission of the child AND the adult guardian to post the photo to Medelita.com. 3) All photos posted to Medelita.com must be relevant to COVIDsitters and are family friendly. 4) No advertising or promotional image files will be approved. 5) Posting on medelita.com is a free service and you may not hold Medelita, LLC responsible should someone take the photo from the Medelita.com site and post it illegally elsewhere. 6) Medelita.com may use any photo for use in media collaborations or articles in 3rd party media publications (i.e. News media, social media, etc). Remember: Only upload non-animated photos in jpg format that are smaller than 1MB. The photographs and the name(s) you upload to Medelita.com pages are publicly visible. DO NOT upload any photo or name(s) that you do not want seen by the thousands of people globally who visit Medelita.com or if you do not want it shared in third party news media or on social media.
    Press
    Enter
  • 7
    • Huge
    • Large
    • Normal
    • Small
    Ok
    quoteCreated with Sketch.
    Ok
    Press
    Enter
  • Should be Empty:
Question Label
1 of 7See AllGo Back
close