Please check the following to confirm your release:
I grant permission to Apricity to use my story, video, and/or images provided by me or taken of me during an Apricity gathering without compensation. Without further notification, the materials may be used for mission or general publications. I understand my quotes/testimonial may be slightly modified and/or condensed.
This release includes the use in both internal and external publications, such as: website, feature articles, social media posts, donor letters, grant applications, and general publicity.
I release Apricity and its employees from any claims, damages, or liability.
I am at least 18 years of age and competent to sign this release. I have read this release before signing and I understand this agreement and accept the terms.
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Apricity programs in which you have participated (please check all that apply):
Apricity Contract Packaging (ACP) – Neenah
Apricity Contract Packaging (ACP) – Milwaukee
Apricity Residential Treatment (ART)
Sober Living (SL)
Parent/Child Program – pregnant or have infant in services or working with CPS to obtain visitation/custody
Emergency Department 2 Recovery Plus (ED2R+)
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