Dear Stranger Participant Form

Thank you for participating in Dear Stranger. Please complete this form, then send your letter to:

Oregon Humanities
610 SW Alder St, Suite 1111
Portland, OR 97205

Please include your full name and return address on the envelope, but not in the body of your letter. Envelopes will be discarded before letters are exchanged. We will not share any of your information without your explicit permission.

Please check our Dear Stranger web page for the current cycle's deadline to mail letters.

Questions? Please email us at programs@oregonhumanities.org.

Are you 18 years old or older?

YesNo

Please have your parent/guardian complete the following:

I grant permission for my child (named below) to participate in Dear Stranger

My child may receive a letter from an adult. (Please note: at this time very few Dear Stranger participants are children.)

Parent or Guardian Full Name (electronic signature):

First Name

Last Name

This is how we will communicate with you. Please use your main email address.

Mailing Address

City/Town

States

Zip Code

Please use 5 digits only

Please add me to the Oregon Humanities monthly e-newsletter mailing list.

We sometimes share Dear Stranger letters on our website. We will ask permission before publishing your letter. If you already know you do not want your letter published, please check the box below.

Do not publish my letter.

By checking the box below, you grant Oregon Humanities permission to share your letter with another participant in Dear Stranger and acknowledge that Oregon Humanities accepts no responsibility for the content of correspondence exchanged through Dear Stranger.

I understand.

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