Video Montage Submissions

What Does Autism Mean To You?

Name of person In video(Required)

First Last

Contact email of person in video(Required)

Contact phone number of person in video

If under 18, name of consenting adult

First Last

If under 18, email of consenting adult

To ensure that no one is featured against their will, for those who can, please ensure they understand the waiver below. However, we understand and appreciate the diversity of the autistic population, and will accept a parent's permission if the minor is unable to understand the waiver but the parent feels confident the minor would enjoy being featured.

If under 18, phone number of consenting adult

Photo/video waiver:(Required)

Autism Society, Newfoundland & Labrador Photograph/Video Waiver

I hereby grant permission to Autism Society, Newfoundland Labrador (ASNL) and its representatives to photograph and video the named participant (s) below, and otherwise capture their image.

I further grant ASNL and its representatives the right to reproduce, use, exhibit, display, broadcast and distribute these images and recordings in any media now known or later developed for promoting, publicizing or explaining ASNL and its activities including their website.

Such photographs/videos are the property of ASNL and may be altered or combined with other images, text, and graphics without notifying me.

******You will need to agree to the terms of the photo/video waiver for ASNL to accept your video submission as the montage will be posted on social media and shown by ASNL for expanding awareness.

Yes, I agree to the terms of the photo/video waiver

File(Required)

Max. file size: 64 MB.

Video Montage Submissions

What Does Autism Mean To You?

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