if you're sending pictures, or anything for my IC videos, please fill this out and e-mail it to me at Pinkhoney0269@aol.com.
I ____________, Give Amy Neilson permission to use my picture(s), Sayings, and such in her Interstitial Cystitis Awareness videos to be put on Youtube, and shared. I understand that once I give my permission to use said things, It cannot be deleted or edited from the video.
Send me anything that represents your life with Interstitial Cystitis. you can email them at the same time that you email this "permission" :)
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