Photo Submission

Please use the form below to submit your Photo, and don’t forget to make the pledge!

  • Accepted file types: jpg, gif, png.
    Please upload your photo.
  • I hereby grant the {100,000 Male/Father Voter's Pledge Campaign} permission to use my likeness in a photograph, video, or other digital media (“photo”) in its publications, including web-based publications, without payment or other consideration. I HAVE READ AND UNDERSTAND THE ABOVE PHIOTO RELEASE. I AFFIRM THAT I AM AT LEAST 18 YEARS OF AGE, OR, IF I AM UNDER 18 YEARS OF AGE, I HAVE OBTAINED THE REQUIRED CONSENT OF MY PARENTS/GUARDIANS AS EVIDENCED BY SELECTING "I AGREE" BELOW.