Celebrating the Families of Our 2016 Photo Contest

Please attach up to three photos

I understand that the items I am submitting to this form may be used to promote the programs and services of Children's Home Society of Minnesota and Lutheran Social Service of Minnesota (CH/LSS). I have been told that I may not have the opportunity to review and approve images or information about me prior to its release. I also understand that if this information is released, it will become public information and may subsequently be reproduced, printed or released by other agencies, individuals, or organizations. I also understand that I may revoke this consent at any time, but the information may have already been released. I understand that I will not receive payment for this information. I confirm that I am the individual, or parent/guardian of the individual(s), depicted in the descriptions or images being submitted. My submitting this electronic form amounts to a waiver of any claim I might have whatsoever against CH/LSS and their employees due to the release of information and its subsequent uses.