Share Your Story

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Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Alias or Name You Want Published (If left blank, your story will be published as anonymous.) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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By uploading a photo, you consent to giving Second Harvest Food Bank of San Joaquin and Stanislaus County permission and full rights to use this photo in a published setting and that you hold all rights to share this photo with us.

I understand that Second Harvest Food Bank of San Joaquin and Stanislaus County may highlight and share my story in any of their publications, through social media, or with the public. This could include fundraising purposes.

Use of Story Consent {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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If asked, I would consider sharing my story and being interviewed by a staff member of Second Harvest Food Bank of San Joaquin and Stanislaus County, or letting a photographer take a photo of me to go with my story.

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Share Your Story

Your Personal Story {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Alias or Name You Want Published (If left blank, your story will be published as anonymous.) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Phone (This is not published or shared) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Email (This is not published or shared) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Share a Photo or Video With Us {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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{binding Name, mode=oneTime}
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By uploading a photo, you consent to giving Second Harvest Food Bank of San Joaquin and Stanislaus County permission and full rights to use this photo in a published setting and that you hold all rights to share this photo with us.

I understand that Second Harvest Food Bank of San Joaquin and Stanislaus County may highlight and share my story in any of their publications, through social media, or with the public. This could include fundraising purposes.

Use of Story Consent {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }

If asked, I would consider sharing my story and being interviewed by a staff member of Second Harvest Food Bank of San Joaquin and Stanislaus County, or letting a photographer take a photo of me to go with my story.

Consent to be interviewed disclosure {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }

Share Your Story

Your Personal Story {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Alias or Name You Want Published (If left blank, your story will be published as anonymous.) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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{ binding firstError.message }
Phone (This is not published or shared) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Email (This is not published or shared) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Share a Photo or Video With Us {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}
{ binding firstError.message }

By uploading a photo, you consent to giving Second Harvest Food Bank of San Joaquin and Stanislaus County permission and full rights to use this photo in a published setting and that you hold all rights to share this photo with us.

I understand that Second Harvest Food Bank of San Joaquin and Stanislaus County may highlight and share my story in any of their publications, through social media, or with the public. This could include fundraising purposes.

Use of Story Consent {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }

If asked, I would consider sharing my story and being interviewed by a staff member of Second Harvest Food Bank of San Joaquin and Stanislaus County, or letting a photographer take a photo of me to go with my story.

Consent to be interviewed disclosure {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }