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Inspire

Inspire others by sharing your story

Consent

I grant permission for Dr. Rinat Green and Kol Koreh to share my child's story of triumph over a challenge on the following platforms:

  • 1. Dr. Rinat Green's Amazon Author Page
  • 2. Kol Koreh's website (www.kolkoreh.org)
  • 3. Other media outlets, including but not limited to social media, newsletters, and promotional materials.

By signing this consent form, I understand and agree to the following:

  • Story Content: The story may be shared in written, audio, or video format, as submitted by me or my child.
  • Purpose: The purpose of sharing this story is to inspire and motivate other children who may face similar challenges, and to promote the message of resilience and determination.
  • Rights: I understand that Dr. Rinat Green and Kol Koreh have the right to edit or modify the story (while preserving its core message) for clarity or length, if necessary.
  • Usage: The story may be used for promotional and educational purposes across various platforms, including social media, the Kol Koreh website, and Dr. Rinat Green’s Amazon Author Page.
  • Privacy: My child's personal information (such as full name or identifying details) will not be disclosed without further explicit consent. Should my child’s story be shared anonymously or with a pseudonym, I will indicate that preference below.

I acknowledge that I am the legal parent/guardian of the child and have the authority to grant this permission.

Please check one of the following: