Sign In Sign In Sign In Thank you for joining us1 Please sign in. Name * First Name Last Name Email * Phone (###) ### #### How did you hear about us? Friend/Family Social Media Other Participant's Gender * Female Male Non-binary Choose not to identify Participant's Age (If choose not to identify, please type n/a) * Photo/Video Release I hereby grant The Arc of Wilson County permission to use my likeness and the likeness of my minor child and/or special needs child in a photograph, video, or other digital media (“photo”) in any and all of its publications, including web-based publications, without payment or other consideration. I understand and agree that all photos will become the property of The Arc of Wilson County and will not be returned. I hereby irrevocably authorize The Arc of Wilson County to edit, alter, copy, exhibit, publish, or distribute these photos for any lawful purpose. In addition, I waive any right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photo. I hereby hold harmless, release, and forever discharge The Arc of Wilson County from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization. I agree I disagree Thank you for signing in! We are so glad to have you!
