Share Your Story

I hereby consent to the use of my first name or initials and story by The Breathing Association, its agents and their respective licenses, successors and assigned (herein collectively called "the license parties"), for uses, including but not limited to oral or written narratives in broadcasting, direct exhibition, education and subsidiary purpose as well as publicity and promotion and in all media now known or hereafter devised throughout the world (including, without limitation, the Internet). I agree that no advertisement or other material need to be submitted to me for any further approval. I hereby release the licensed parties from any and all claims for damages, invasion of privacy or any other claim based on the use of said material, and I hereby agree to identify The Breathing Association and hold The Breathing Association harmless from any claim asserted by any third party relating to or arising out of my participation. Nothing herein will constitute any obligation on the licensed parties to make any use of any of the rights set forth herein.