Share Your Story

Would you like your story included on our website? If so, please fill out the form below and then email us at info@curechd2.org to submit a photo.

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Please agree to our Waiver.
I hereby grant permission to Coalition to Cure CHD2 to use my child’s photo(s) and/or video(s) that I have submitted to Coalition to Cure CHD2 for publication in its brochures, newsletters, display boards, social media accounts, and/or websites without requiring that notice be provided to me by Coalition to Cure CHD2 before doing so. I also acknowledge that Coalition to Cure CHD2 may choose not to use my photo(s) and/or video(s) at this time but may chose, at its own discretion, to use them at a later date. I understand that once the image(s) I provide to Coalition to Cure CHD2 are posted on Coalition to Cure CHD2’s website or other online social media platforms, there is a risk that the image(s) could be downloaded and used by any computer user without my or Coalition to Cure CHD2’s knowledge or consent. Therefore, I agree to indemnify and hold harmless Coalition to Cure CHD2, its agents, employees, volunteers, contractors, licensees and insurers from any and all claims that may be made as a result of said unauthorized use. I further agree to waive and release any and all claims that I, or anyone acting on my behalf, may have against Coalition to Cure CHD2, its agents, employees, volunteers, contractors, licensees or insurers relating to the usage of my name or my likeness, or the use and/or distribution of any photo(s) or video(s) I may provide to Coalition to Cure CHD2, in any form, version or media throughout the universe. I acknowledge that Coalition to Cure CHD2 has the right to unilaterally decide to discontinue the use of any photos or videos I may provide to it without first providing notice to me. I also acknowledge that, in the event I would like any photo or video I provided to Coalition to Cure CHD2 to be removed from Coalition to Cure CHD2’s website or other online materials, I must first submit a written email request to Coalition to Cure CHD2 at info@curechd2.org requesting said removal. By signing below, I acknowledge that I have read this release in its entirety and I fully understand its contents, meaning, and implications.

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