media release & upload

We’re nothing without our incredible community of Gould Syndrome warriors & their families. If you feel inclined to share a photo with our foundation for use across our website or promotional materials, please fill out the form & upload your images below. We request that images be high resolution (300dpi). Thank you!

Name

First Name

Last Name

Date

YYYY

Media Release & Understanding of Use

I agree to the use of my images and likeness in all of Gould Syndrome Foundation’s communications and materials, which includes, but is not limited to, print publications, social media, the internet, and The Gould Syndrome Foundation’s website. I understand that my images will be used in relation to Gould’s Syndrome (COL4A1/COL4A2 genetic disorder).

Yes

I certify that I am the parent or guardian of the individual above, a minor under the age of 18 years.

Yes

Parental Consent

I hereby agree to assume legal responsibility for his/her authorizations referred to in this General Media Release. I understand that by typing my name below, this serves as a digital signature.

Info

Contact
Privacy Policy
Terms of Service
Inclusivity Statement
Site Credit

Resources

Drug Avoidance List
Publications
Get Involved

Search


Please note that TGSF provides this information for the benefit of the community. TGSF is not a medical provider or health care facility and thus can neither diagnose any disease or disorder nor endorse or recommend any specific medical treatments. Patients must rely on the personal and individualized medical advice of their qualified health care professionals before seeking any information related to their particular diagnosis, cure or treatment of a condition or disorder.