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OA Marin Speaker Release Form
Please read and sign if you agree to having your speaker share uploaded to our website for the public.
First name and first letter of last name:
Years in Program:
Compulsive Overeater (CO)
Century/lost 100 lbs. or more (100)
Compulsive Overexerciser (COX)
Multiple Addictions (MA)
Person of Color/Minority Identified (MI)
Young Person (YP)
By checking each box, I agree to the following:
1. My share may be recorded.
2. My first name and last initial may be used in conjunction with the recording.
3. My share described above may be posted online by OA Marin.
4. My share may be identified online with the categories selected above.
5. My share is my original material, which I have full rights to release publicly.
6. These rights I share with the understanding that there is no commercial purpose, and this is a royalty-free
7. I understand that my share will only be posted if it meets standard OA guidelines, such as anonymity and only mentions OA approved literature.
8. This agreement may be applied to my future recorded shares.
Type name to sign agreement:
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