Why I Vax Submission

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

Name*
Email*
Where are you?*
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
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Email
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Why I Vax Submission

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