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Please complete this form to submit your story or specific content to Autism Ontario, including photographs, videos, stories, artwork, written works, testimonials, or articles, and provide consent for use of such content.

Note: If you are submitting an article for Autism Matters Magazine, we encourage you to submit a photo to accompany your work.

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I confirm that I, as a person on the autism spectrum OR a parent/caregiver OR family member of a person on the autism spectrum, have read and fully understand the contents, meaning, and impact of this consent, waiver, and release form. I confirm that I have received permission to submit this content.

I hereby authorize Autism Ontario to reproduce, use, exhibit, display, distribute and distribute the submitted work(s) and/or photograph/video(s) in support of the mission, the vision and values of Autism Ontario or its programs, as well as for marketing/communications purposes or to promote/publicize the activities of the organization. I consent to the use, for general distribution to the public, of these personal videos or stories, this artistic and/or photographic material, as well as the names and illustrations representing myself, my immediate family and/or my friends. These works and/or photographs may appear in any of a variety of formats and media now or may become available in the future, including, but not limited to, print, broadcast, and electronic/online media. I understand that I will not receive any compensation for use of the work(s) and/or photograph/video(s). I waive any claim against Autism Ontario and its staff for any personal or emotional distress that may result from use of the work(s) and/or photograph/video(s).

I hereby waive, grant, and release to Autism Ontario the right to publish my name and content and/or the name(s) and content of my legal minor child (under 14 years of age).

Autism Ontario has my consent and authorization to use this content as described above. Note: All content can be removed from our website at any time upon request, though we cannot guarantee that works circulating beyond our website will be removed. Consent is valid until named individual(s), or parent, indicates otherwise in writing to Autism Ontario. If you have any questions or concerns, please connect with us at submissions@autismontario.com.

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