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Vision Conditions

Learn more about the visual system and vision conditions.
Story Submission & Release Forms
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Below are two release forms to give COVD permission to use a story and/or photo(s) of your child or yourself to promote vision therapy. Please complete the appropriate form(s).

If you have yet to submit a photo or written story, you can do so right in the form!

Minor Release Form

Adult Release Form


Thank you for helping us Make Vision Therapy Visible!

  


 

Minor Child Release:
I hereby give College of Optometrists in Vision Development (COVD) the absolute right
and permission to publish, copyright, and use a Success Story and/or photo(s) of
__________________________________ (name of minor child) in which above named
may be included in whole or in part, composite or retouched, in character or form.

The intended use of the story and/or photo(s) is for the COVD website, www.covd.org,  
but may be used for other purposes, i.e., our digital journal Vision Development &
Rehabilitation, or on one or more of our social media profiles including the blog
Mindsight, Facebook, Twitter, etc.

The person in the story and/or photo(s) is under 18, and I certify that I am their parent or 
legal guardian and I give my consent without reservation to the foregoing on their behalf.

 


Adult Release:
I hereby give College of Optometrists in Vision Development (COVD) the absolute right
and permission to publish, copyright, and use a Success Story and/or photo(s) of
__________________________________ (name) in which I
may be included in whole or in part, composite or retouched, in character or form.

 

The intended use of the story and/or photo(s) is for the COVD website, www.covd.org, 
but may be used for other purposes, i.e., our digital journal Vision Development &
Rehabilitation, or on one or more of our social media profiles including the blog
Mindsight, Facebook, Twitter, etc.

I certify that I am above the age of 18 and I give my consent without reservation to the
foregoing.

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