Please complete this form if you would like your child’s photo and description to be posted on FASGMN’s “Meet Other Kids” page.

Be aware that this page is viewable by all visitors of FASGMN’s website. Only first names will be shown.  This form is to be submitted only by individuals 18 and older. This form is to be submitted only by parents or legal guardians of the child referenced in the photo or description.

By checking the boxes below, you certify that

You have reviewed, understood, and will comply with the Terms of Use

 

You have reviewed, understood, and will comply with the Privacy Policy

 

You certify that you have the authority to consent to FASGMN’s use of your submitted information, including on behalf of all minors about which information and photos are submitted.

 

You certify that you have the authority to use the photo submitted in this form. Photos must be taken by private individuals. No copyrighted photos are allowed.

 

Your first and last Name

 

Your Phone Number with area code

 

Your Email Address

 

Your Address

 

Upload your photo of your child.

 

First Name of Child in submitted photo

 

Child in photo is allergic to: (list food allergies)

 

Validation Code