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Media Consent Form

Therapeutic Conversations and The Vancouver School for Narrative Therapy
2025 West 16th Ave Vancouver BC V6J-2M6
email: narrativevancouver@gmail.com    phone: 604-688-7860
www.therapeuticconversations.com

Release Form for Media Recording

I hereby consent and agree that the Vancouver School for Narrative Therapy, its employees, or agents have the right to take photographs, videotape, or digital recordings of me during trainings. The use of these and any and all media, now or hereafter known, will be exclusively for the purpose of training, marketing, and website production. I further consent that my name and identity may be revealed therein or by descriptive text or commentary.

I do hereby release to Vancouver School for Narrative Therapy, its agents, and employees all rights to exhibit this work in print and electronic form publicly or privately and to market. I waive any rights, claims, or interest I may have to control the use of my identity or likeness in whatever media used. I hereby irrevocably authorize Vancouver School for Narrative Therapy to edit, alter, copy, exhibit, publish or distribute this photo and video for purposes of publicising Vancouver School for Narrative Therapy programs or for any other lawful purpose. In addition, I waive the right to inspect or approve the finished product, including written or electronic copy, wherein my likeness appears.

I understand that there will be no financial or other remuneration for recording for me, either for initial or subsequent transmission or playback.

I also understand that Vancouver School for Narrative Therapy is not responsible for any expense or liability incurred as a result of my participation in this recording, including medical expenses due to any sickness or injury incurred as a result.

I represent that I am at least 18 years of age, have read and understand the foregoing statement, and am competent to execute this agreement.

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