Image and Story Release Form - Cadence International

I grant permission to Cadence International to use my story, video, and/or images provided by me or taken of me during a Cadence gathering. Without further notification, the materials may be used for mission 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 Cadence International 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.

Name*

By completing and submitting this form, I agree to the terms and conditions as outlined above.

First Last

Email*

Cadence community you are involved with, if applicable*

Use NA if you are not currently involved with a Cadence community.

Optional: Additional family members:

Please list the names of additional family members who are also released by submitting this form.

Date*

I consent to my submitted data being collected and stored by Cadence*

Yes

*If you are under 18, please have a parent or guardian complete the following:

Parent's Name

First Last

Email

Date

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