With your permission, we may share your story in print, online, or on social media.
Please read and sign this Personal Information Release Form, which gives Wilder permission to share your and/or your child’s story, image, or voice publicly. With your consent, we may feature this content on our website, social media, podcast, or other public materials to help share the impact of our work.
The information you give to us in this form will be used to determine service requests and may be shared with other staff at Wilder whose jobs require access or with others outside of the Wilder Foundation as provided by law. You can also review our full privacy policy here.
Please note that you are not required to submit your information using this form.
You may also contact us at [email protected] if you have any questions.
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