Memorial Story
Submission & Consent Form

Thank-you for submitting a story to our website. We are collecting these stories as a way to recognize and remember those who have gone missing or who have been murdered. This is a chance to celebrate their life, to share their hobbies, interests, aspirations, to let others know about their background, family, and help others know that they are not just a statistic.

The questions below are to help you share their story. You can either respond to the individual questions and prompts or simply provide your own words in the “other comments” section. The more information you can provide, the better we’ll be able to remember them.

Out of respect for the victims of MMIP, we ask that you not get into the details of the circumstance of how they went missing, nor get into political statements. There are other sites where those details can be provided, and where “who to contact” info can be provided.

Our team will review your comments and combine them into a profile of the person. We may edit but will remain true to the information you have provided. We may reach out to you if we require more information or need clarification on your submission. You might want to look at other stories on our site for ideas on what to say.

Please ensure that you complete the submission and consent form below so that we can post your story. Thanks for your time.

If you have reported someone as missing and they are found, we are very thankful for that and hope that in some way, our posting of their story has helped. Please let us know as soon as you can that we should remove them from our database.

Memorial Story Submission
What is your name?*
What is your relationship with the person?*
What is the person’s name?*
What is the person's gender?*
Are you reporting this person as missing or murdered?*
- Yes
- No
What date did the person go missing or was murdered?*
Date Format: MM slash DD slash YYYY
What was the person's age when last seen?*
Please enter a number from 0 to 115.
What can you tell us about their family background?*
(eg. mother/father of three, how many brothers/sisters, etc.)
Where are they from?*
(eg. home town, community)
What were their hobbies, interests?*
Did they have any particular dreams or aspirations you’d like to share?*
Anything other good things you’d like to share about their life?*
Other comments?
Pictures:
(Please note that if pictures include others, we may also need their permission to post the picture on our website. If necessary, we may crop the pictures to focus on the individual.)
Drop files here or

Accepted file types: jpg, jpeg, gif, png, pdf.
Image and Personal Story Release (Consent Disclosure)
Submitter's Information:
Name*
First Last
Email*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
This release is for the use of all Submitters of Iron Eagle for Missing and Murdered Indigenous People board. It will remain in effect from the time of signing until person/youth Submitters reach the age of majority or for adult Submitters it will remain in effect indefinitely. This information will be recorded in IEMMIP database. To change consent you must complete a new IPSR.

1. Parent(s)/guardian(s): Sign this release for Submitters under the age of majority. This release is effective until the child turns the age of majority, at which time he/she will be required to provide consent on her own as an adultSubmitter if at all possible.

2. Adult Submitters: Send this form for data entry.
Applicant/Submitter's Name*
Is the Applicant/Submitter a minor?*
- Yes
- No
Birth Date*
Date Format: MM slash DD slash YYYY

(if a minor)
In the course of Iron Eagle’s journey of awareness, representatives of IE4MMIP, Volunteers, Sponsors, non-member participants and staff may take photographs or otherwise record events. These photographs and recordings are sometimes submitted to Iron Eagle’s social media and webpage, or public media to promote the cause. Please advise us if you are willing to have your own image and voice and/or your child or ward’s image and voice used for promotional purposes by IE4MMIP as indicated below:
Consent*
I agree to the policy listed below, and I certify all information is true and correct to the best of my knowledge.
I, on my own behalf and/or on behalf of my child/ward, give permission to the Iron Eagle board, staff, member, or volunteer to photograph and record me and/or my child/ward’s image or use images submitted by me, my voice on still photographs, motion picture film, audio tape, video tape or digital media and to use this material, and/or similar material provided to Iron Eagle by me or third parties involved in this journey, in whole or in part, now and in the future, through the media of television, film, Internet, multi-media presentation, radio, audiotape, videotape, in printed form and display form for the promotion of Iron Eagle Journey of Awareness.

I, on my own behalf and/or on behalf of my child/ward assign and transfer to Iron Eagle any and all proprietary rights, including copyright, and waive all personality rights, which I may have or my child/ward may have in this material.

Iron Eagle is only responsible for official uses of photographs and recordings. Any personal uses by athletes, Members and non-members outside of the promotional uses outlined above are not monitored by or the responsibility of IE4MMIP.
We protect and respect your privacy. Your personal information is used only for the purposes stated on or indicated by the form. For complete details, see our Privacy Statement or contact info@ironeagle4mmip.ca
Name
This field is for validation purposes and should be left unchanged.

Iron Eagle Journey of Awareness Notice of Postponement due to COVID-19. More info here.

Iron Eagle 4MMIP

Memorial Story
Submission & Consent Form