Social Media & Photo ReleaseAuthorization To Use Image
I, do hereby consent for The Alano Club of Portland and Peak Recovery, their representatives and employees to copyright, use and publish my information in marketing campaigns, including, but not limited to Facebook and lnstagram. I understand that no royalty, fee or other compensation shall become payable to me by reason of such use.
I understand that my decision to participate, not to participate, or withdraw my participation will not affect my availability of services.
I understand that if I choose to participate, I may withdraw my participation at any time and that the use of my participation may continue for up to twelve (12) months. To withdraw I must speak with a Peak Recovery representative and receive a written termination of participation.
I understand that my information may be used in email, website, social media, and print campaigns.
I am not being coerced, convinced, or asked to participate against my will.
Today's Date: May 19, 2024