Story & Photo Release Form

I hereby give permission to Heart Heroes, Inc. to use my child’s or my name, written story, and photographic likeness in all forms and media for non-profit fundraising/ awareness and any other lawful purposes. This includes, but is not limited to, print materials, social media and the Heart Heroes website.

Please complete the following in event that the participant is a minor.

I represent that I am the parent/guardian of the above-named minor, and hereby consent and agree to the terms stated above.

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