Publicity Release Agreement

I hereby grant Willamette Valley Cancer, hence known as “WVCF,” permission to use my name, likeness, voice, and biographical material in a photograph, video, audio, written format, and/or any other medium about me (from here on known as personal images and information) in any and all of its publications, including but not limited to website, recordings and all other social media forums. I consent to this without payment or any other consideration. I understand and agree that these materials will become the property of WVCF and will not be returned. <br> <br>

Release. By submitting this form, you acknowledge that your typed name replaces your handwritten signature and confirms the validity of this document.