A Woman Worth Holding Onto Global

Release Form

During our time together, we capture moments via photo and video. These moments are a part of our history and allow us to share with those who cannot attend.

In order to include you in these moments, we need your permission. Please complete and submit the form below to grant us permission to use videos and photos of you in our social media outlets, website, advertisements, etc.

A Woman Worth Holding Onto

Release Form

Name

First Name

Last Name

Phone

(###)

###

####

Email

Please check all that apply below:

Yes, you can include me in pictures and videos during the Houston Connect.

No, do not include me in pictures and videos during the Houston Connect

Yes, you can use pictures and videos of me in the AWWHO Global social media outlets, website, advertisements, etc.

Type Your Name Below

Your typed name below will serve as your electronic signature.

Date

Please type today's date below:

Completion of this Form is required for continued participation in the A Woman Worth Holding Onto Global Houston Connect Community.