HIDDEN PAIN - America's Oral Health Crisis
RELEASE FORM FOR HIDDEN PAIN: AMERICA’S ORAL HEALTH CRISIS
TERMS OF USE
I understand and agree:

● Jon C. Burr Foundation (JCB) owns the intellectual property rights to the film. Users may not edit or alter the film without permission from the Foundation.
● JCB Foundation grants to

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license to copy, distribute and show the film in compliance with the following:

1. Agree to provide the Foundation with available data, to include
a) Organization(s), location(s) and number of viewers at each screening.
b) Provide a viewer evaluation (to each participant) and a designated time to complete it at each screening. This information is required by our funders and the JCB Foundation tracking Department.
2. The License limits the film distribution to the United States.
3. All invitations, announcements, other materials, or messages distributed in conjunction with the viewing must acknowledge the JCB Foundation as owner/producer of the film.
4. The film may not be altered or sold for profit. Tickets or admission to see the film must be free of charge.
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