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Impact Story Submission Form
Brooke Parkinson, CNP
Your Impact Story
In 1 - 3 sentences tell us about the impact you've made through volunteerism. Who were you volunteering with? What did you do? Which organization was it for?
Upload a selfie or a picture of the work you did.
Accepted file types: jpeg, png.
I agree to the publicity release stated below.
In return for being allowed to participate in Houston Together, an event lead by Volunteer Houston (“VH”), a program of Interfaith Ministries for Greater Houston (“IMGH”), volunteer activities and all related activities, including any activities incidental to such participation (“Volunteer Activities”), the undersigned Volunteer or Parent/Legal Guardian of Volunteer if Volunteer is under age 18 (hereafter referred to using “I”, “me”, or “my”) hereby grants to IMGH, and each of its subsidiaries, affiliates, agents, advertising or promotional agencies, and partners, and all such entities’ officers, directors, agents, employees, respective successors and assigns (collectively, “Authorized Parties”), the absolute and irrevocable right and permission to use, publish, broadcast and/or copyright the use of Volunteer’s name, voice, photograph and/or likeness and caricature, in its current form or as retouched, digitized, cropped, altered, distorted or modified in any way, in any and all advertising, promotional, or other materials based upon or derived from the Volunteer Activities in any manner, in any media whatsoever for any and all purposes, including by way of example but without limitation advertising, promoting or publicizing products and services throughout the universe, in perpetuity, in any and all media now known or hereafter devised (including without limitation on the Internet), without additional compensation. I further agree that anything derived therefrom will be owned solely by the Authorized Parties. I shall not authorize the use of any print, negative or other copy thereof by anyone other than the Authorized Parties. I understand that this statement is intended to be as broad and inclusive as permitted by the laws of the state of Texas and agree that if any portion of this Agreement is invalid, the remainder will continue in full legal force and effect.
I am 18 years or older
I am under 18 years old
We will contact your parent or guardian to collect their permission to post the content you've submitted. Your impact story will not be posted until we are able to collect their permission.
Parent/Guardian Cell Phone
This field is for validation purposes and should be left unchanged.