We would love it if you could help us build up mental health awareness. Please complete the form below to help the UCC Mental Health Network spread the word about our WISE Conferences and resources.

Media Release:
By GRANTING permission as directed below, I am giving the UCC Mental Health Network permission to use my testimonial.

I further acknowledge that I will not be compensated for these uses and that the UCC MHN exclusively owns all rights to the images, videos, and recordings, and to any derivative works created from them.

I waive the right to inspect or approve the use of any printed or electronic copy. I hereby release UCC MHN and its assigns and licensees from any claims that may arise from these uses, including without limitation claims of defamation or invasion of privacy, or of infringement of moral rights or rights of publicity or copyright.

This Release is binding on me, my heirs, assigns, and estate. UCC MHN is not obligated to use any of the rights granted under this Release.

This Release expresses the complete understanding of the parties.

I GRANT unrestricted permission for my testimonial to be used in print, video, digital, and internet media. I agree that my submission may be used for a variety of purposes and that may be used without further notifying me. I understand that my name may be used in conjunction with any testimonial.