United Way of Broward County ePledge Portal

Volunteer Appreciation Breakfast Survey: * Name: * Employer: * Job Title: Please share with us the program(s) that you volunteer/partner with: Choose Peace Stop Violence Community Partnership Schools (Hallandale and Gulfstream) Family Stability Program (Hallandale and Gulfstream) General United Way of Broward County Education Pillar Community Partner Project EmPOWER ReadingPals COMMUNICATION RELEASE: I do hereby give United Way of Broward County, their assigns, licensees, and legal representatives the irrevocable right to use my name or any fictional name, photograph image and/or statement(s) in all forms and media and in all manners, including composite or distorted representations, for advertising, trade or any other lawful purposes, including on printed advertising and promotional material and on websites and other electronic media and I waive any right to inspect or approve the finished version(s), including written copy that may be created in connection therewith. This consent is expressly intended to release United Way of Broward County from liability. I am of legal age and have read this release and am fully familiar with its contents. * I agree to the communication release regarding promotional purposes. Items marked with an asterisk(*) are required

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