Media Release Form

Thank you for your interest in FDDC's upcoming media campaign.

Please complete the media consent form below

Photos and materials submitted may be used for the Pay Fair for My Care campaign. This includes but is not limited to social media, the website, in print or for materials you may use such as stickers, postcards, buttons, etc.

By signing this media consent release form you are granting the FDDC the ability to take, alter, edit, copy, exhibit, publish, distribute and make use of any and all pictures or video taken of you to be used for the lawful purpose of marketing materials.   

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Pay Fair for My Care is a statewide educational outreach campaign, led by the FDDC, for individuals, families, and those who support them to spread awareness and information on the critical importance of direct care workers for individuals with intellectual and developmental disabilities by sharing personal experiences. We need to hear from you. Use the form below to tell us why direct care workers are important to you. These stories will be part of our Pay Fair for My Care messaging to the legislature and our Developmental Disabilities Awareness Day virtual event. Please complete the form below and share your photo and your story!

MEDIA RELEASE CONSENT FORM

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  • Max. file size: 128 MB.
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