Arts/Writing Expression Release Form

Dear Participant: Thank you for participation in Focusing-Oriented Expressive Arts (FOAT®): Tools for Resilience-Building, hosted by Focusing Initiatives International and the Focusing and Expressive Arts Institute. Presenters/Hosts: Laury Rappaport (Faculty/Director) with Trainees in FOAT Level 4: Ally Hernandez Publico, Angie Parmer, and Ma Su Htwe.

Permission to Share Art/Writing Expressions

If you would like to share your arts and/or writing expressions for educational and training purposes, please review and sign this release form. You sharing your art and/or writing expressions will be helpful for the trainee’s learning experience, and others interested in FOAT®.

I agree to allow Laury Rappaport, Focusing and Expressive Arts Institute, and the FOAT Level 4 Trainees (Ally Hernandez Publico, Angie Parmer, and Ma Su Htwe) to use my arts/writing and associated information for the following purpose(s):

Please check all that apply. Required

With the current FOAT Level 4 Training Program (Faculty, trainees, and coaches)

Other educational and training purposes (conferences, workshops, courses, etc.)

Publications in professional journals, books, or other writings

FOAT promotional materials and media platforms (YouTube, website, social media, etc.)

On the Focusing Initiatives International website (www.focusinginternational.org)

Anonymity preference:

Please select one:

I wish to remain anonymous.

I do not wish to remain anonymous and would like the following name included with my art:

Name of FOAT Exercise(s): *

Please submit your art/writing expression using the upload button below that match the file type: *

If you have any trouble with uploading your expression(s), please email them to office@focusingarts.com

Image(s)

Document(s)

OPTIONAL

Description of your Arts/Writing Expression(s)

A word, phrase, sentence, or more that describes something important to you about the FOAT experience and/or your arts/writing expression(s).

If you have any questions or need clarification, please contact us at office@focuisngarts.com!

I voluntarily grant the use of my arts/writing expression(s) and associated information with the agreed upon conditions in this release form 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 acknowledge that once I sign and submit this form, I will have three (3) days to withdraw my consent.

Enter your full name: *

Email Address: *

Electronic Signature: *

Today's Date:

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