We Are Medway Question Title * 1. Name as you would like shown OK Question Title * 2. Occupation: OK Question Title * 3. Age? Note, goal would be to add age to posting, but not mandatory - if you rather not posted please leave blank. OK Question Title * 4. Choose All That Apply Medway Resident Past Medway Resident Medway Business Owner Town Employee Medway Business Employee Medway Volunteer/Committee/Group Member (Past/Present) OK Question Title * 5. If Resident, Resident since what year? OK Question Title * 6. If Medway business owner, town employee or volunteer (past or present) how long? years? position held, etc.? OK Question Title * 7. Please describe in a few sentences, something about you to accompany the photo you might want to share (not answered already). i.e. What Medway means to you? OK Question Title * 8. I hereby grant Tim Rice, dba Tim Rice Photo permission to use the photographs taken of me, in relation to the WE ARE MEDWAY PROJECT on the date identified below. I understand and agree these photographs will become the property of Tim Rice, dba Tim Rice Photo.I acknowledge that since my participation with Tim Rice, dba Tim Rice Photo and the WE ARE MEDWAY PROJECT is voluntary, I, nor my heirs, will receive no financial compensation or royalties in relation to these photographs mentioned.I authorize Tim Rice, dba Tim Rice Photo to exhibit, publish or distribute this photo for purpose of publicizing the TIM RICE PHOTO - WE ARE MEDWAY PROJECT in a lawful manner.Filling in name, town, state, and email address will act as a signature. Name City/Town Email Address OK DONE