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ACCO logo
18 Loop + ACCO Opportunity 

ACCO works with 18Loop to distribute virtual reality (VR) headsets to children on active treatment with cancer to help them tolerate treatment, recover and thrive.
Parent Information

Child's Information 

Social Media Handles

If you have any questions, please email Blair Scroggs, Public Relations Coordinator at

The next page is the model consent form. By proceeding and inputting your name into the next form, you are agreeing to the form specifications.

ACCO logo
Social Release and Consent Form 
The dignity and privacy of our children and their families is a priority for the American Childhood Cancer Organization (ACCO) and their affiliates.  If you choose not to have your child, their siblings or your family's photos taken at any ACCO events, it will not impact your ability to receive services.  The photos and materials taken and used by ACCO and their affiliates are to promote our services to the community, share photos among other families within our organization and to advertise activities to the community. 

provide my consent and authorize the American Childhood Cancer Organization to use my child's photographs in promotional material for the organization. Some examples of promotional material where photographs might be use are newspapers, magazines, publications, advertisements/flyers, television, web sites or social media. Photographs will be the sole property of the photographer named below and the American Childhood Cancer Organization. I hereby release all claims and liability relating to social media. 

In addition, I understand and agree to the following: 

  • The photographs received by the ACCO remains the exclusive property of ACCO 
  • My first name and/or child's first name, age, gender, and/or diagnosis may be named in connection with the public use of the photographs shared as ACCO deems appropriate.
  • My child's photographs may need to be modified slightly for use. 
  • Any photographs of my child received by the ACCO are and will remain the exclusive property of ACCO. 
  • By releasing my child's photographs, I cannot use these photos for anything but my own personal use and must consult with the ACCO for any additional uses, such as commercial and marketing purposes. Photographs may not be sent to other nonprofits or childhood cancer communities without permission from ACCO.
I understand and agree that ACCO may use such photographs with or without our name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising and web content. I also acknowledge that by having a photograph publicized that my child may be identified as having been diagnosed with caner. 

This authorization is continuous and will remain in effect until such authorization is rescinded.  It is not necessary for ACCO to contact me prior to publishing this material in any literature, promotions or on the website. I relinquish all rights, title and interest in the photographs. 
‚Äč18Loop's mission is to advocate for the benefits of Virtual Reality (VR) in pediatric cancer recovery, to distribute VR technology to kids with cancer, and to work with the tech community to develop environments that will benefit our constituents. Measuring our results will drive our progress to helping our kids tolerate treatment, recover and thrive. This program is designed to maximize the impact VR can have on pediatric cancer recovery. Over 40 VR headsets are out for distribution following our program launch. In the coming weeks and months, we'll test and deploy new VR systems, test new therapeutic environments and assist our kids with fighting cancer. 
Please Fill Out Below

By adding my name below, I acknowledge the above.