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I hereby confirm that I have sent content to Elijah Kihlstadius (hereafter referred to as the RECIPIENT) with respect to his blog(s) on tumblr. I confirm that the RECIPIENT explained to me at the outset that some or all of what I disclosed to him, with the exception of any details in relation to my identity, might be shared with other individuals, but that in no event would my words be taken out of context. I understand that my statements may form the basis for conclusions and discussions of issues relating to the general subject at the time. I also realize that the RECIPIENT may transfer ownership of his/her work or may authorize others to publish material and that it may appear in magazines, other articles, treatises, collections, subsequent editions, and other written forms as well as in electronic, audio, or audiovisual presentations including educational and commercial television programs and movies.

2. Confirmation of Voluntariness
I confirm that I have voluntarily disclosed to the RECIPIENT information and opinions about myself and other individuals.

3. Confirmation of Reliance
I understand that the RECIPIENT will expend extensive and valuable time and effort in preparing a manuscript based on the content of my message and/or letter and has relied on my consent to use this material.

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I hereby consent to all publication of any or all of the material disclosed by me within the message and/or letter and to identify me as its subject or source and to the use of my name (and likeness) in the published material and in any promotion or advertising of it.

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*—If there are any concerns or disputes, these terms may be discussed and modified upon request.

Need help or advice?

Click a topic to open an ask box:

Eating Disorders & Body Image:

Together We Can Recover! - letsrecovertogether

Self Harm:

You don't need to hurt yourself ♥ - nomore-selfharm

Suicide:

Suicide is never the answer - Let's find one - why-not-end-it

Hate/Bullying:

Getting hate? We can help - hate-help-hotline

Dating & Relationships:

The Truth About Love - takeflightforlove

Advice Blog:

Positive Advice - just-be-positive

You can also visit the advice blog network for even more advice blogs!

Each ask box will send an ask directly to it's respective blog:

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