Speaker Release Form

IDENTIFICATION(S) *

Compulsive Overeater (CO) Century/Lost 100lbs or more (100) Lesbian, Gay, Bisexual, Transgender, and Questioning or Queer (LGBTQ) Anorexic (A) Bulimic (B) Compulsive Over Exerciser (COX) Multiple Addictions (MA) Person of Color/Minority (MI) Young Person - under 35 (YP)

My shares at any OA Marin meeting may be recorded.
My first name and 1st initial of my last name may be used in conjunction with the recording.
My share may be posted online my OA Marin.
My share may be listed online with the identification(s) I have declared.
My share is my original material, which I have full rights to release publicly.
I understand there is no commercial purpose and this is a royalty free agreement.
I understand my share will only be posted if it meets standard OA guidelines, such as: anonymity and no cross-talk, only mentions OA approved literature, and respects the traditions of Overeaters Anonymous.