Expressive Arts and Writing Release Form
In the interest of promoting the education and training of Focusing-Oriented Expressive Arts (FOAT®), expressive arts therapies, and Focusing, I grant Laury Rappaport, Ph.D., LMFT, REAT, ATR-BC and the Focusing and Expressive Arts Institute, the right to reproduce my media (writings, artworks, recording, and other audio-visual materials) for the following uses identified below. I have had the opportunity to ask questions about the potential uses of my media. I also understand that I can consent to some or all parts of this release form.
I agree to allow Laury Rappaport and the Focusing and Expressive Arts Institute to use the following:
Expressive Arts and Writing Permission
I give Dr. Laury Rappaport and the Focusing and Expressive Arts Institute permission to use my media for the following purposes:
Anonymity or Name Option
I hereby grant the use of my media as defined by the purposes above to Laury Rappaport and the Focusing and Expressive Arts Institute in perpetuity. I give express consent to the altering or editing of the aforementioned work for editorial purposes and waive the right to inspection or approval of the finished product. I attest that I have voluntarily provided my work in accordance with the agreed upon conditions in this release form. I acknowledge that once I sign and submit this form, I will have three (3) days to withdraw my consent.
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