Welcome our new online platform where you can now share you own personal stories and journey's in order to help others know that they are not alone. 

We often find ourselves consumed by the stigma around mental health and feel alone.   

   Through this platform, we are inviting you to connect with others, create positivity and #shareyourstory for those who aren't ready to share theirs yet. 

Help others #shareyourstory by sharing your own

Submit your information below to get started and we will contact you as soon as possible. 

Please upload a picture/headshot of yourself. High resolution is preferred, 1000px x 800px in JPG or JPEG File

Select File
Max File Size 15MB

By filling out this digital release form and hitting submit, I (name provided) grant A Wild Ride Called Life, LLC. permission to use my video, podcast, picture(s) or blog to share on their social media, and website. 

I verify that I have the right to publish the people in any of the pictures of video and that I own the rights to have these pictures (or other content) distributed, published or promoted by A Wild Ride Called Life as they see fit for their website. I certify that this content is not plagiarized from any other source. 

I understand that by completing this form only allows A Wild Ride Called Life to use my photos (or other content) in their publications, and at no time will A Wild Ride Called Life assume rights to the photos (or other content) themselves other than me allowing them the right to publish the photos (or other content submitted) to #shareyourstory, and should they then post pages from the publications on the website or in internet postings.

I understand that at no time shall I be paid, re-imbursed, compensated, or given royalties, now or at any point in the future by A Wild Ride Called Life. 

I hereby irrevocably authorize A Wild Ride Called Life to copy, exhibit, publish or distribute this content in their publication for purposes of publicizing A Wild Ride Called Life in their publication, website or internet postings or for any other lawful purpose. I also give the right for A Wild Ride Called Life to make any necessary edits (I.e.crop/resize) to fit the publication. 

I hereby hold harmless and release and forever discharge A Wild Ride Called Life from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on the behalf of this publication have or may have by reason of the authorization.

I certify that the person or ALL person(s) in the photo(s) are least 18 years of age. If they are under the age of 18, I certify that their parent or legal guardian has given approval. I have read this release and I fully understand the contents, meaning, and impact of this release. 

I affirm that all given statements to A Wild Ride Called Life are true. As the provider, I also understand that submissions of content, or completion of release, is not a guarantee of publication. If work is published, it is the duty of the provider (and not A Wild Ride Called Life) to notify all involved parties of their involvement in the final product. 

©2018-19 A Wild Ride Called Life

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