By checking the box, I hereby authorize The Wellbeing Collaborative to use my photo and/or information related to the content I have submitted on this website (wellbeingcollaborative.org). I understand this information may be used in publications, including electronic publications, audiovisual presentations, promotional literature, advertising, community presentations, letters to area legislators and media, and/or other similar ways. Wellbeing Collaborative will disclose to me or my legal representative, where appropriate, the specific information and/or photo to be used prior to release in social media. My consent is freely given as a public service to Wellbeing Collaborative without expecting payment. I release Wellbeing Collaborative and their respective partners from any and all liability that may arise from the use of such news media stories, promotional materials, written articles, videotapes, and/or photographs. I affirm that I am over the age of 18 years. I also approve that my name can be used for attribution purposes.