Identity Consent Form

Date(Required)

Name(s)(Required)

Address(Required)

Street Address

Phone

Email(Required)

I/We do hereby declare and warrant that I/we have the legal authority to, and do hereby, authorize and grant a non-exclusive license to Adoption Associates, Inc. and its affiliates for the use of photographs, video footage, original written material, etc., of ourselves and/or our child(ren) supplied by me/us for the purposes of marketing and promotion of adoption in any and all print, internet, video or other materials.

I agree (Adoptive Mother)

I agree (Adoptive Father)

Comments

This field is for validation purposes and should be left unchanged.

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Identity Consent Form

Resources

Follow Us