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Family Story Form
Sharing Your Story
Family Story Form
From time to time, we like to share Ronald McDonald House or Ronald McDonald Family Room stories. Please take a moment and tell us more about your experience here. Thank you!
Date of child's hospitalization
How did you hear about the Ronald McDonald House or Ronald McDonald Family Room? What were your expectations for your visit before you arrived?
What are your feelings about RMHC CTX now that you have used the House or Family Room? Did anything surprise you? Has anything been particularly helpful to you?
What is your child's diagnosis/story? How is he/she doing now?
What would you say about RMHC CTX to our supporters (donors, volunteers, those who read our newsletter) about RMHC CTX or the experience you had while you were here?
Do you have a picture of your child/family we can use to tell your story? If you do, please upload.
RONALD MCDONALD HOUSE CHARITIES GRANT, ASSIGNMENT, RELEASE AND WAIVER
I hereby grant to Ronald McDonald House Charities (RMHC), its local Chapters and programs, advertising and promotional agencies, and their agents (collectively, “RMHC”), the irrevocable, unrestricted right to use, publish, display and distribute materials created by me. These materials may appear in any form, style, color or medium whatsoever now or hereafter known (including, without limitation, photographs, videotapes, films, sound recordings, software, drawings, prints, broadcast, internet and electronic media).
I agree that all materials created or taken by me (including, without limitation, all negatives, plates and masters of any photographs, files, prints or tapes) shall be and remain the sole and exclusive property of RMHC, and I hereby assign any proprietary right I may have acquired in or to such material to RMHC. I hereby release and forever discharge RMHC from any and all liability and damages relating to the use of materials created by me.
I may not assign or transfer the rights licensed herein. Any modifications of these terms must be in writing and signed by each party. This agreement is made under and shall be governed by the laws of the state in which RMHC’s principle place of business is located.
I understand that nothing in this agreement is intended to create a relationship of employer-employee, principal-agent, partner or joint-venture between the parties.
I hereby waive any right I may have to photos and/or media created by me on behalf of RMHC Austin and understand that the photos and/or media are RMHC Austin’s exclusively.
I have agreed to the above in consideration of the opportunity given to me by RMHC to appear in these materials. I acknowledge that I have fully read and understand this document and that I have had any questions regarding its effect or the meaning of its terms answered to my satisfaction.
I certify that I am at least 18 years of age, unless this document is also signed by my parent or legal guardian.
I represent that I am a parent or legal guardian of the person identified above, who is a minor. I consent to the use of his/her name, voice, likeness and/or other identifiable representation of him/her as set forth above.
By checking this box, I agree to all of the terms and conditions stated above.