Skip to content
Home
MHSA Issue Resolution
Contact Us
About Us
Staff
eNews
Blog
Newsletter
Online Videos
May Event 2022
eLEARNING
Online Training
In Person Trainings
Communities
Communities We Serve
Parents/Caregivers
Youth/Family Support Partners
Service Providers
Connections
Meetings/Trainings
JobBank
Calendar
Resources
Search for:
Submission Test
Home
-
Submission Test
Submission Test
stenwalker
2021-03-11T10:04:20-08:00
Submission May 2021
Name
First
Last
Email
*
Phone
Display Name
*
Enter the name you would like displayed with your art, you may enter "Anonymous" if you wish to remain anonymous. You may also enter your age if you wish.
Consent
*
I consent to the following
- I grant permission to NAMI San Diego and other associated organizations to the use my name, age, and image (photographs and/or videos) of which I submitted with this form.
- I consent to NAMI San Diego and other associated organizations’ use of my name, age, and image (photographs and/or videos) for use in their productions, on their websites, across their social media, or however they see fit.
- I hereby waive any right to inspect or approve the finished photographs or electronic matter that may include my name, age, and image (photographs and/or videos) for current or future use, whether that use is known or unknown to me.
- I hereby waive any right to the potential royalties or other compensation that may arise from the use of my submissions.
- I understand that my submission is not guaranteed to be shown during the event or in related material surrounding the event.
File
Max. file size: 10 MB.
File
Max. file size: 10 MB.
File
Max. file size: 10 MB.
Toggle Sliding Bar Area
Page load link
Go to Top