Hand in Hand

Hand in Hand
3860 Middle Road
Bettendorf, Iowa 52722
email us: info@handinhandqc.org

Phone: (563) 332-8010   Fax: (563) 332-7396
Photo Release Authorization Form
Parents/guardian(s) please fill in all fields and authorize one of the statements below
Parent or Guardian name:*
Parent or Guradian email address:*
Pictures taken of my child, while attending Hand-in-Hand programs*
may be used for promotional or fundraising efforts.
may not be used for promotional or fundraising efforts.
      * - Mandatory Fields.

Hand-in-Hand is a non-profit organization that assists families with special needs. We exist to expand the capabilities, confidence and quality of life for children and young adults of all abilities by providing programs designed to encourage fun, learning and social interaction in a positive environment.