Need Assistance?

    P2G Assistance Application Form

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    How Did You Hear About P2G?



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    I Need Assistance With:

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    I certify that I will not withhold any information that would unfavorably affect my application to receive assistance from Passion2Give. I understand that information contained on my application will be verified by Passion2Give, and any misrepresentation(s) may be cause for my immediate rejection to receive assistance from Passion2Give.

    Rights and Waiver

    I hereby authorize Passion2Give to photograph, record video, and/or interview me if necessary. I understand that these materials may be used in Passion2Give’s publications, including web-based content, for promotional and awareness purposes.

    I acknowledge that participation in media is completely voluntary and may not be applicable in certain circumstances to ensure the privacy and safety of individuals.


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