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4. Share your story
   We are collecting stories from the Lafayette community during the COVID-19 pandemic that highlight triumphs, struggles, and resiliency in the City of Lafayette, CO. When we all do our part we can help slow the spread of COVID-19. Let's showcase WHY and HOW we all are Doing Our Part Lafayette.
6. 
8. Answer questions that are required and upload photo(s). Limit 3 photos.
10. First Name*
11. Last Name Initial *
13. Email Address *
15. Are you a Lafayette, CO resident? *

    1. Yes
    2. No
16. How many years have you lived in Lafayette, CO? *
18. How has your life changed during the COVID-19 pandemic? *
20. Who, in your life, motivates you to work towards slowing the spread of COVID-19?
22. What is something that has been really hard to adjust to?
24. What is something that brings you joy?
26. What is something new or unique you and your family have experienced during the COVID-19 Pandemic?
28. When life is back to normal, what is the first thing you are going to do?
30. What advice or words or wisdom do you wish to share with your Lafayette community? *
32. Upload Photo*
33. Upload Photo
34. Upload Photo
36. Publicity Release/Permission To Reprint*

    1. YES I agree to the Publicity Release
    2. NO I DO NOT agree to the Publicity Release

    By submitting this form, I hereby grant the City of Lafayette the right to use this photo and story electronically, in print, online or for promotional purposes. I hold the City of Lafayette harmless from any and all liability that might arise out of or result from the foregoing use. My entry signifies that I will abide by all rules.
38. Model Release - if people are present in your photo**

    1. There are no people in my photo
    2. YES I agree to the Model Release below

    I hereby grant the City of Lafayette the right to use the likeness of the person/people in my photograph and story for print or online promotional purposes, without payment or any other consideration for that person/people. I hereby irrevocably authorize the City of Lafayette to edit, alter, copy, exhibit, publish and distribute this photo and story for purposes of publicizing the City’s programs or for any lawful purpose. I hold the City of Lafayette harmless from any and all liability that might arise out of or result from the foregoing use. My entry signifies that I will abide by all rules.
40. I have approval from the people in my photo to submit this photo for the City of Lafayette's use as it pertains to the above releases.*

    1. YES I have permission
    2. NO I do not have permission
Leave This Blank:


42. 1. Receive an email copy of this form.
43. Email address

    This field is not part of the form submission.

44. Submit

* indicates a required field