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The following questions are to help guide you as you tell us your story.

Please note: Do not read the questions on camera. These questions dont have to be answered in theorder displayed. You also dont have to answer all questions. If you have children, feel free to includethem on camera and tell your stories together.

Best approach: Its best to read through the questions ahead of time and answer back conversationally inyour own natural tone. We want to hear YOUR story.

Time Limit: 3 minutes and under.

1. Please tell us your name and where you live.

2. What is your relationship to the military, if any?

3. What about your family makes you proud?

4. What is the biggest challenge of being a wife/husband/child of a service member?

5. If you benefit from programs and services of the Armed Services YMCA, explain how they have

make your military life easier, and your family more resilient (Operation Kid Comfort; DOD Military

Outreach Initiative; Operation Hero; Hospital Waiting Rooms)

6. How do you use Armed Services YMCA programs and services?

7. Complete this sentence: If there were no Armed Services YMCA

8. For military personnel: What is the most difficult part about being away from your family? And

how does the Armed Services YMCA help you and your family?

9. For children of military personnel: What do you miss most about your mom/dad/aunt/uncle, etc.?

10. For children of military personnel: What fun things have you done with the Armed Services

YMCA?

11. For Armed Services YMCA volunteers/supporters: Why do you support the Armed Services

YMCA and military families?

Optional: Participants can also email us still pictures of their family together at

tina.keswani@fticonsulting.com. A submitted photo portion must be in .jpg, .png, .bmp format and mustnot exceed 500kb in size.

Questions to Answer

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For good and valuable consideration, the receipt of which is hereby acknowledged, I hereby consent to thephotographing of myself and the recording of my voice and the use of these photographs and/or recordings singularly or

in conjunction with other photographs and/or recordings for advertising, publicity, commercial or other business

purposes. I understand that the term "photograph" as used herein encompasses both still photographs and motion picture

footage.

I further consent to the reproduction and/or authorization by The Armed Services YMCA to reproduce and use said

photographs and recordings of my voice, for use in all domestic and foreign markets. Further, I understand that others,

with or without the consent ofThe Armed Services YMCA may use and/or reproduce such photographs and recordings.

I hereby release The Armed Services YMCA, and any of its associated or affiliated companies, their directors, officers,

agents, employees and customers, and appointed advertising agencies, their directors, officers, agents and employees

from all claims of every kind on account of such use.

By signing this release I understand this permission signifies that photographic or video recordings of me may be

electronically displayed via the Internet or in the public education or commercial setting. There is no time limit on the

validity of this release nor is there any geographic limitation on where these materials may be distributed.

This release applies to photographic, audio or video recordings collected as part of the sessions listed on this document

only.

By signing this form I acknowledge that I have completely read and fully understand the above release and agree to be

bound thereby. I hereby release any and all claims against any person or organization utilizing this material for

educational or commercial purposes.

If person(s) is under 18: I, ____________________, am the parent/legal guardian of the individual named above. I haveread this release and approve of its terms.

FullName________________________________________________________________________________________________

StreetAddress/P.O.Box________________________________________________________________________________

City______________________________________________________________________________________________________

Prov/PostalCode/ZipCode______________________________________

Phone___________________________________________Fax_______________________________________

EmailAddress_______________________________________________________________________________

Signature___________________________________________________________________________ Date____________________________

Ifthisreleaseisobtainedfromapresenterundertheageof18,thenthesignatureofthatpresentersparentor

legalguardianisalsorequired.

Parent/GuardianSignature_________________________________________________________________Date_______________________

*ALLINFORMATIONISREQUIRED

Release Form