Why I Choose Image Submission - Voices For Vaccines

Why do you choose immunization for yourself or for your family? Upload a photo here and explain why you choose to vaccinate. Photos should be at least 450px x 450px in size.

Name*
Email*
Address*
City State / Province / Region Country
Why do you immunize?*
Your Image*
Accepted file types: jpg, jpeg, png, gif, Max. file size: 10 MB.
By checking this box, I agree that I have the rights to grant Voices for Vaccines the following permission. I hereby give permission to Voices for Vaccines to use the photo of me, my child(ren), or my family for its website or marketing materials. I understand that the photo may be labeled with my name and location. My email address will not be made public.*
- I agree
Email
This field is for validation purposes and should be left unchanged.