LetsTalkPPCM Social Media Consent/Release Form.
I hereby authorize LetsTalkPPCM to use my name, photo, and/or information related to my experience with Peri/Post Partum Cardiomyopathy. I understand this information may be used in publications, audiovisual, presentations, promotional literature, advertising, community presentations, letters to area legislator and media/and or other similar ways. LetsTalkPPCM will disclose to me or my legal representative, where appropriate, the specific information and/or photo to be used prior to release in the social media. My consent is freely given as a public service to LetsTalkPPCM, without expecting payment. I release LetsTalkPPCM and their respective employees, officers, agents from any and all liability which may arise from the use of such news, media, stories, promotional materials, written articles, videotape and/or photographs. Failure to sign can lead to removals or non existent PPCM story post.
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