2. Share Your Story Online Submission Form
4. Once you have completed your draft story according to the guidelines, and have checked the draft for spelling, grammar and character count, then you are ready to submit your story online. Simple answer a few simple questions, then copy/paste your story draft into the space indicated. Remember, the online form will cut off any characters that exceed the 1000 character (includes spaces) limit. After you've completed the form, click submit and your bio will be automatically submitted!
6. First Name*
7. Last Name*
9. Email Address*
10. Phone Number*
12. Approximately When Did Your Story Occur? Type In Month & Year If Possible*
14. Please insert your completed story below. Your story MUST be less than 1000 Characters, including spaces.*
    We suggest that you first compose your story in Word, complete a spell and grammar check and make any corrections. We also suggest that you do a character count. If your story is more than 1000 characters (including spaces), any characters in excess of the 1000 limit will be cutoff in this online form.
16. The Memorial Opera House Story & Photo Release Form
    Please carefully read the statements below. You MUST check "I Acknowledge & Agree" for each statement.
18. The submission of your story and/or photo to the Memorial Opera House serves as permission for the use of your story and/or image, or the image of your family members, by the Memorial Opera House.*

    1. I Acknowledge & Agree
20. I hereby grant the Memorial Opera House permission to use my story and/or likeness in a photograph, video, or other digital media (“photo”) in any and all of its publications, including web-based publications, without payment or other consideration.*

    1. I Acknowledge & Agree
22. I understand and agree that my story and/or photos will become the property of the Memorial Opera House and will not be returned.*

    1. I Acknowledge & Agree
24. I hereby irrevocably authorize the Memorial Opera House to edit, alter, copy, exhibit, publish, or distribute my story and/or photos for any lawful purpose. In addition, I waive any right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the story and/or photo.*

    1. I Acknowledge & Agree
26. I hereby hold harmless, release, and forever discharge the Memorial Opera House from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.*

    1. I Acknowledge & Agree
28. I hereby certify that any photo submitted does not include any minor children other than my own. *

    1. I Acknowledge & Agree
30. By affixing my electronic signature below, I affirm that I am at least 18 years of age and acknowledge that I have read, understand and consent to the above Memorial Opera House Story & Photo Release Form.
32. Electronic Signature*
    Please type your full name
33. Today's Date*
    Today's Date
35. ALL FIELDS REQUIRE AN ANSWER. YOU WILL NOT BE ABLE TO SUBMIT THIS FORM UNTIL ALL QUESTIONS ARE ANSWERED.
Leave This Blank:


37. 1. Receive an email copy of this form.
38. Email address

    This field is not part of the form submission.

39. Submit Submit and Print

* indicates a required field