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Media Release Form

Media release form needs to be completed by all members of Warriors Against Cancer members, including Board Members, Volunteers and Grant Recipients. 

CONSENT TO USE MEDIA AND TESTIMONY

I hereby grant Warriors Against Cancer (WAC), it's representatives, employees, agents, partners and affiliated organizations the irrevocable and unrestricted right to use and publish:

These materials may be used in printed publications, digital media (including websites and social media), promotional materials, fundraising campaigns, and public education efforts. I understand that I will receive no financial compensation for the use of my image, voice or story. All materials will remain the property of Warriors Against Cancer and will not be returned. I may withdraw my consent at any time by providing written notice to Warriors Against Cancer, but I understand that materials already published may not be retrievable. Optional Consent (Please check as appropriate)

Media Release Form

Signature and Acknowledgement

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If the individual is under 18 years old:

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