"I give permission to use my name, likeness, image, voice, and/or appearance as such may be embodied in any pictures, photos, video recordings, or made on behalf of Blue Coast Behavioral Health. I also give Blue Coast Behavioral Health my permission to share my personal recovery story. I agree that Blue Coast Behavioral Health has complete ownership of such pictures, etc., including the entire copyright, and may use them for any purpose consistent with the organization’s mission. I acknowledge that I will not receive any compensation for the use of such pictures, etc., and hereby release Blue Coast Behavioral Health from any and all claims which arise out of or are in any way connected with such use."
Your Full Name