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Report on your Community Presentation

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*5.
Question - Required - In what setting was the program offered?










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Question - Required - How was the program publicized? (choose all that apply)
Please make between 1 and 8 selections from the choices below.

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*9.
Question - Required - Type of audience that attended (choose all that apply):
Please make between 1 and 4 selections from the choices below.

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By clicking submit and participating in National Stroke Association’s Community Presentations, you unconditionally and irrevocably assign all copyrights and other rights in the submissions to National Stroke Association.

You acknowledge that National Stroke Association, at its sole discretion, has the right to use any photograph, video or story submitted by you to print, publish, broadcast and use in any manner National Stroke Association deems appropriate worldwide, in any media now known or hereafter developed, including, without limitation, television, books, newspapers and magazines or the Internet, for advertising, promotion, the use of trade and/or other commercial purposes. By submitting a photograph, video and/or story, you (and any other individual depicted in a photograph, video or story) consent to such publication or any other use.

As a condition of submitting your photograph, video or story, you (and any other individual depicted in a photograph or video) unconditionally and irrevocably waive all claims to compensation for use of the photograph, and/or any rights with respect to such use you may have under copyright law, the right to publicity, the right to privacy, the law of defamation and any other common law or statutory claims under the laws of any jurisdiction.

You represent that you have been given the authority by each individual depicted or represented in a photograph or story to bind such individual to these release terms. Participants further release National Stroke Association from any and all liability, claims or damages arising out of or relating to the participant’s submission. All photographs and videos submitted become the property of National Stroke Association and will not be returned to the entrant.

Not yet 18? If you’d like to participate, you may still submit a story, video or photograph to us. The only catch is that you’ll need to include a letter in which your parent or legal guardian gives us formal written consent to use them. Send to:

Anna Taylor
Manager, Community Education and Outreach
National Stroke Association

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