Consent(Required) I agree to the terms and conditions below.
By signing and submitting this release, I voluntarily authorize the Pediatric Brain Tumor Foundation of the US, Inc. (PBTF) including its employees and agents to use video, written, photographic, or audio recordings of my and my family’s story and journey for purposes of promotional, informational and educational activities as deemed appropriate by the PBTF. I understand and give my permission that the PBTF may use and disclose my pediatric brain tumor diagnosis in sharing my and my family’s story. I understand that I may request filming or recording of me be stopped at any time, and I may revoke in writing my authorization to use or disclose the images or recordings as provided below. I waive any proprietary rights in the materials and any right I may have to inspect or approve the finished materials prior to release or publication. I also agree to release and hold harmless PBTF, its trustees, officers, employees, and agents from any liability related to the making, use, or disclosure of these photographs, videotapes, audiotapes, or any other form of multimedia.
