Program Participant Survey

We would like to assess the impact of your participation in our activities and services by making audio or video recordings of your stories. Through this assessment, our organization will learn what worked and what did not work and why. This learning will help us improve our programs and services.

We may also use the products of our assessments to share the stories we collect with our community and other stakeholders or to advocate for our clients' needs. We may use these products to publish our accomplishments and to seek support for our ongoing services, program(s), and/or activities. We may publish information, stories, photographs and artwork through various media-including but not limited to print, electronic and audio-video recordings. Examples of these publications may include but are not limited to newsletters, brochures, reports, Web sites, slideshows, PowerPoint presentations, program photo albums and/or audio-visual public service announcements.

No media shall be used for exploitation or promotion of activities unrelated to the mission of Unicorn Children's Foundation.

I grant permission to share my story on social media and newsletters *

I GIVE Unicorn Children's Foundation permission to publish my name/child's name, image, written work and/or artwork for the purposes stated above. I DO NOT GIVE permission to publish my name/child's name, image, written work and/or artwork for the purposes stated above.

Program Participant Survey

​Consent Form

Consent Form