To access the form giving Sputter Box permission to use your picture for a PSA, please

“By completing this form and checking “Yes,” I agree that Sputter Box may use my picture taken on May 12, 2020 for a Public Service Announcement supporting the use of face masks. I agree that this picture may be published on social media accounts and potentially on television. I agree to receive no compensation for this picture or its publication and distribution. I under that no names will be associated with the picture.”