Page 1

.
ACCO is looking to tell stories of childhood cancer through the eyes of the caretaker and we are looking for you to "takeover" our social media. The purpose of our takeover opportunity is to share your story with other parents/caregivers in a similar situation. Our thought is that this would also give insight into a day/week/month/months/years in the life of a cancer caregiver and share the reality while inspiring comfort and unity. 

By submitting this form, you're agreeing to allow ACCO to post a series of four posts about your story with images for an upcoming day on our social media. 

Please answer these questions to your level of comfort. we understand the difficulty discussing certain details or recalling certain experiences. Any insight you can provide will be helpful to spread awareness for childhood cancer.
Part 1

In each section, we will ask for at least one image to accompany the post. 



Part 2 

In each section, we will ask for at least one image to accompany the post. 


Part 3

In each section, we will ask for at least one image to accompany the post. 


Part 4

In each section, we will ask for at least one image to accompany the post. 


Tagging Handles (ex. @accorg) 




Please email Blair Scroggs the Public Relations Coordinator at bscroggs@acco.org if you have any problems or questions. 

The next page is the consent form. By proceeding and inputting your name into the next form, you are agreeing to the form specifications. 

Consent 

The dignity and privacy of our children and their families is a priority for the American Childhood Cancer Organization (ACCO) and their affiliates.  If you choose not to have your child, their siblings or your family's photos taken at any ACCO events, it will not impact your ability to receive services.  The photos and materials taken and used by ACCO and their affiliates are to promote our services to the community, share photos among other families within our organization and to advertise activities to the community. 

provide my consent and authorize the American Childhood Cancer Organization to use my child's photographs in promotional material for the organization. Some examples of promotional material where photographs might be use are newspapers, magazines, publications, advertisements/flyers, television, web sites or social media. Photographs will be the sole property of the photographer named below and the American Childhood Cancer Organization. I hereby release all claims and liability relating to social media. 

In addition, I understand and agree to the following: 

  • The photographs received by the ACCO remains the exclusive property of ACCO 
  • My first name and/or child's first name, age, gender, and/or diagnosis may be named in connection with the public use of the photographs shared as ACCO deems appropriate.
  • My child's photographs may need to be modified slightly for use. 
  • Any photographs of my child received by the ACCO are and will remain the exclusive property of ACCO. 
  • By releasing my child's photographs, I cannot use these photos for anything but my own personal use and must consult with the ACCO for any additional uses, such as commercial and marketing purposes. Photographs may not be sent to other nonprofits or childhood cancer communities without permission from ACCO.
I understand and agree that ACCO may use such photographs with or without our name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising and web content. I also acknowledge that by having a photograph publicized that my child may be identified as having been diagnosed with caner. 

This authorization is continuous and will remain in effect until such authorization is rescinded.  It is not necessary for ACCO to contact me prior to publishing this material in any literature, promotions or on the website. I relinquish all rights, title and interest in the photographs. 
Authorization 






Contact Information