Client Publicity and Media Release Form

(Publicity purposes include but are not limited to annual reports, newsletters, website, social media, videos, press releases, donation campaign messaging, etc. DRTx will not sell or otherwise use the material for commercial purposes.)

Use of first and last name of child or person under guardianship (for example: Tommy Smith)

Use of first name and initial of last name of child or person under guardianship (for example: Tommy S.)

Use of first name only of child or person under guardianship (for example, Tommy)

Use of initials of child or person under guardianship (for example: T.S.)

Use of fake name only of a child or person under guardianship (for example: Johnny instead of Tommy)