Jefferson’s Coach of the Year! 2025 Coach of the Year Consent Form This field is hidden when viewing the formNext Steps: Sync an Email Add-OnTo get the most out of your form, we suggest that you sync this form with an email add-on. To learn more about your email add-on options, visit the following page (https://www.gravityforms.com/the-8-best-email-plugins-for-wordpress-in-2020/). Important: Delete this tip before you publish the form.About YouYour Name(Required) First Last Your Phone(Required)Your Email Address(Required) Email Address Confirm Email Address Mailing Address Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code How long have you been a coach for?(Required)What sport(s) do you coach?(Required)Team name(s)(Required)Brief Bio (Optional)Please provide us with a brief bio and background on how you got into coaching.Favorite Coaching Memory (Optional)If you’d like, share one of your favorite moments or memories from coaching. Please provide us with a picture that we can use for the plaque and for media announcements! Drop files here or Select files Max. file size: 64 MB. We sometimes get interest from local or national media who want to spotlight our Coaches of the Year. Would you be open to chatting with a journalist or participating in a media opportunity? Yes, I’m happy to be contacted for media opportunities No, thank you ConsentMedia Release and Consent Confirmation(Required) I confirm I have the right to share these images and have obtained necessary permissions from all identifiable individuals. By submitting this form and any accompanying media (including photos, videos, or other content), you confirm that: You own the rights to the images you are submitting or have received permission from the rights holder(s). You have obtained the necessary consent from all identifiable individuals appearing in the media (or their legal guardians, if minors), allowing Jefferson's Franchise Systems and its partners to use the content for promotional purposes. You grant Jefferson's Franchise Systems the right to use, reproduce, and publish the submitted media in all marketing channels including, but not limited to, our website, social media, email campaigns, and printed materials. If any minors are depicted in the submitted media, you confirm that you have secured verifiable parental or guardian consent for their inclusion.Consent for Public Use of Name, Image, and Quote(Required) I consent to Jefferson's Franchise Systems' use of my name, image, and likeness in marketing materials, including but not limited to social media, email campaigns, websites, and printed materials, as part of the Teacher of the Year program.Jefferson’s would like to use your name, image, and quote across various marketing channels, including press releases, social media posts, emails, and in-restaurant displays. Your consent will allow us to celebrate your achievements publicly and ensure proper representation. Please check the box above if you agree to the following: I consent to Jefferson's Restaurant using my name, image, and quote for marketing and promotional purposes across social media, email newsletters, press releases, in-store displays, and other marketing channels.
