St. Louis Oasis Media Release

Name of releasor

First Name

Last Name

Email

Phone

Website/URL (Optional if applicable)

If you have photo you would like us to use, please upload it here. (Optional)

Maximum file size: 20.48MB

Do you use social media?

Yes

No

If you said "yes" check all platforms where you have a profile.

Facebook

Instagram

OtherOther

May we tag you?

Yes

No

If you said "yes" please provide your profile handle below.

For "your.name" enter the profile name you use for your Facebook account. (this could be your real name or a nickname for your Facebook profile)

If you said "yes" please provide your profile handle below.

For "@yourusername" enter the profile name you use for your Instagram account. (this could be your real name or a nickname for your Instagram profile)

If you said "yes" please provide your profile handle below.

For "yourname" enter the profile name you use for your LinkedIn account. (this could be your real name or a nickname for your LinkedIn profile)

If you said "yes" please provide your profile handle below.

For "your.name" enter the profile name you use for your Facebook account. (this could be your real name or a nickname for your Facebook profile)

What part of your testimonial are you comfortable with us sharing?

Where can we share your story?

On Oasis’s website

In emails to legislators

In printed or digital press materials

On social media

In interviews with local or national media

I am open to being contacted for a media interview or video

Please only use my story internally (do not publish)

Can we lightly edit your quote for clarity or length if needed?

Yes, that’s fine

Please check with me first

No, please use it exactly as I wrote it

Anything else you'd like us to know about how we use your story?

Please select which of the following that you are comfortable with if you are featured.

Being filmed on video by a media outlet

Being filmed on video by an Oasis team member

Being photographed by a media outlet

Being photographed by an Oasis team member

Being audio recorded by a media outlet

Being audio recorded by an Oasis team member

Being interviewed by a media outlet for a write-up only, no video or photography

Being interviewed by an Oasis team member for a write-up only, no video or photography

Best way to reach you if we have questions?

Phone

Text

Email

Any of the above

Agree to terms

I hereby authorize St. Louis Oasis to use my photo, video, and likeness in news releases, photographs, video, audio, website, marketing and advertising for an indefinite period of time.

File Upload

Maximum file size: 20.48MB

Date Signed

Releasor Signature

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