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I, ______________________________, of _________________________,
allow the use of my personal information provided concerning my grandchildren and family, to be used, disseminated,
and published by the Grandparent Resource Center, a nonprofit charitable corporation for grandparents and families, based in the
state of Colorado.
I give the above-named nonprofit the right to freely use my name and story as it deems appropriate regarding the issues of grandparent and family related matters. I agree to hold the above nonprofit and its directors, officers, and employees harmless for any conduct by them in regard to using and communicating personal information about myself and my family. I have fully read and understand the above authorization. I also understand that I have a right to have this authorization reviewed by an attorney and I have a right to refuse this authorization. By signing below I hereby consent to this authorization and its contents. ______________________________________________________________________ Signature and Address ________________________________ Phone Number |
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Right is still Right even if everyone is against it. Wrong is still wrong even if everyone is for it. (William Penn) |