Permission - 3D Friends

Please fill out this photo authorization form and click submit when finished.

Your loved one who has special needs, we will call our "3D Friend" in these questions listed below.

This form is requesting that 3D Friends Ministry would have your permission to put pictures of you, your family members and your 3D Friend(s) up on our website. We want to show the world the joy and smiles that they have when given opportunities to do things above and beyond their normal activities.

Many thanks!

* Indicates required field

Your Name *

First

Last

Phone Number *

Your 3D Friend's Name *

First

Last

Your 3D Friend's Name *

First

Last

Your 3D Friend's Name *

First

Last

Your 3D Friend's Name *

First

Last

I give permission for my photo, my family member's photo and my 3D Friend's photo to be used on the 3D Friends Ministry Website. *

Yes No

I give permission for the 3D Friends Ministry to use any future photos taken of me, my family or my 3D Friend to be used on this Ministry Website. *

Yes No

Comments you might have for us: *

Submit