Share Your Story | UCP of Maine

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Subject

Your Story

By checking this box, I hereby authorize UCP of Maine (UCP) to use, publish or republish my story and photograph, including my likeness, photographic or video image or the likeness, photographic or video image of my minor children. I also hereby authorize UCP to release personally identifiable information that I share with UCP of Maine, such as my first name, hometown, or disability or the first name, hometown or disability of my minor child. UCP of Maine will not share your last name, phone or email.

ADD A PHOTO:

I understand that the purpose of UCP of Maine’s use or release of the photographic or video images will be to promote disability awareness or initiatives and public education in which UCP of Maine is a participant or for use in conjunction with fundraising for UCP of Maine’s charitable mission. I expressly waive all claims to compensation or damages resulting from UCP of Maine’s use of the authorized images or information. I represent and warrant that any story or photos that I provide to UCP of Maine are not subject to third-party copyright protection, and I waive any copyright claims I may have in them.

I understand that this authorization for Photo/Video/Information Release can be revoked by me at any time by submitting a written request to: Quality Assurance, UCP of Maine, 700 Mount Hope Ave, Suite 320, Bangor, ME 04401 or marc.inman@ucpofmaine.org.