Your Consent

Sharing your experiences inspires providers, uplifts parents, and supports our mission.
This form is to grant the use of your stories, photographs, video, audio, or other media to ZERO TO THREE. Why we are asking you to share your story: Stories are powerful. They can show the reality of what children, caregivers and providers face; what’s working and what isn’t; and what your hopes are for the future in ways that resonate with policymakers, advocates and donors who can create lasting change for young children. Your rights to your story:
  • You have the right to see and update your story.
  • You can change your mind at any time and revoke your consent by sending an email to If you inform us, we will not use your story in future communications. However, please understand that we may not be able to remove images and stories already published.
  • If you wish for us to no longer use your story or if you have any questions or comments about how we are using your story, contact us at 
By signing this release form, you are granting ZERO TO THREE the exclusive right to use, adapt, modify, reproduce, distribute, translate, promote and publicly display your shared story in perpetuity. This includes, without limitation, the ability to reproduce, distribute or sell the Content, in whole or in part, in hard or electronic copy, including in print, CD, DVD, broadcast and in any other medium now known, including on websites, videos, and on other public online forums (email, social networking platforms, newsletters, etc.), or hereafter invented. Rights to the Content and to all works created or collected by ZERO TO THREE and/or by its affiliates, agents, successors, and/or assigns, that use, are based on, or incorporate the Content or my Personal Information (as defined below), belong to ZERO TO THREE. Your Personal Information, which means name, appearance, likeness, statements and other limited biographical information, may be used, adapted, modified, reproduced, distributed, and publicly displayed by ZERO TO THREE in connection with the story in any medium now known or hereafter invented.  If you understand, agree and consent to the following, fill in the information, sign your full name and include the date.