Have You Made Healthy Changes in Your Lifestyle? Share Your Story!

Share Your Story

Story text is maximum 4096 characters.
I GRANT permission for the attached story and photo/image, voice or video, along with my first name or pseudo name, age and residential location to be published on the Go For Health Windsor-Essex public website and for potential use in future Go For Health promotional materials (e.g., reports, media articles, flyers, posters etc.). I understand my story may be shared with the media, and consent to follow up by Go For Health Windsor-Essex or the media should my story be of interest. I understand that my story may not be published on the Go For Health Windsor-Essex website or used in any media campaigns whether it be audio, print or electronic. I give permission to Go For Health Windsor-Essex to modify my story in any manner they see fit, without modifying or changing the integrity of the story. All photographs, video, audio, images, stories, and other materials will remain the property of Go For Health Windsor-Essex.

I certify that I am of legal age, 18 years or older. If you are under age 18, a parent or guardian must agree to this consent form on your behalf. Privacy Disclaimer: Any personal or demographic information collected by Go For Health Windsor-Essex will be used to support and promote its goals, through website, print and media resources, or as otherwise set out in the website. Except where prohibited by law, participation in this activity constitutes the participant’s consent to the storage, use and disclosure of their entry details as set out in the website.