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Painted Brain would like to thank you for choosing to send your submission to firstname.lastname@example.org. It is very important to us that individuals have the opportunity to express themselves in their chosen mediums and Painted Brain has provided a platform for individuals to do so. Painted Brain thanks you for being a part of our community and encourages you to continue to be involved. Please complete the following release form to have your work published with Painted Brain.
hereby authorizes Painted Brain to use the following items submitted (check all that apply):
I acknowledge that by signing this document and providing this submission to Painted Brain, it’s use may include but is not limited to posting on social media, utilized for promotional materials and printed materials, and published on media.paintedbrain.org.
By signing this Agreement, I acknowledge that I was not forced or coerced to donate the aforementioned item(s). I do not expect or require compensation of any kind monetary or otherwise for this donation.
Covenant Not to Sue. To the extent permitted by law, I specifically agree not to commence any legal action against the Organization arising out of or in connection with this Agreement. To the extent permitted by law, I expressly agree that if I commence such an action in violation of this Agreement, I shall indemnify the Organization for the full and complete costs of defending such an action and enforcing this Agreement, including reasonable attorneys’ fees (whether incurred in a third-party action or in an action to enforce this Agreement), court costs, and other related expenses. By executing this Agreement, I am expressly waiving my ability to obtain relief of any kind from the Company to the extent permitted by law.
Are you interested in the Medi-Cal Peer Support Specialist Certification Training? New Classes begin October 24. Space is limited.