Media Submissions – International


International Media Release

Share your photos with the MED13L Foundation

Thank you for sharing your photos and videos with our community. Seeing our families is one of the most powerful ways we spread awareness of MED13L Syndrome.

This form lets you send us your photos and records your consent for how we may use them. Sharing is completely voluntary. You choose exactly where your photos may appear, and you can withdraw your consent at any time, free of charge, by emailing social@med13l.org. Saying no, or withdrawing later, will never affect your family’s participation in Foundation programs, events, or research.

This is the International Media Release, for families who live outside the United States, including the EU and UK. If you live in the U.S., please use the U.S. residents release form.
Please read this before you begin. When we publish a photo, the people in it may be recognized as part of the MED13L community, and others may understand that they are living with MED13L Syndrome. Because of this, we treat your photos as sensitive information and only use them with your explicit consent.
Who we are. The MED13L Foundation, Inc., 14 Main Street, Park Ridge, IL 60068, United States, is responsible for your information. Your photos and this form are stored on Google servers in the United States. Contact social@med13l.org with any question about your information, or to ask for a copy of it, a correction, or its deletion. You may also complain to your local data protection authority.
Test mode is on. Submissions are not being sent yet. The Foundation team needs to add the upload link before this form goes live.

About you

We use this to confirm your submission and to reach you about your photos.

Enter your full name.
This is also the address we will look for if you ever ask us to stop using a photo.
Enter a valid email address.

Who appears in the photos

Please list the first and last name of each person who can be recognized, including children. We keep full names for our records. When we publish, we use first names only.
Please list who appears in the photos.
Choose your relationship to the people in the photos.
Please explain your relationship.
Please tell us if anyone in the photos is under 18.
Please confirm you are the parent or legal guardian of the child or children shown.

Upload your photos

Your photos upload straight into the Foundation’s secure, access controlled Google Drive. Only authorized Foundation staff can view them.

Drag photos here, or click to browse
JPG, PNG, WEBP, or HEIC. Up to 15 MB each.
Have a video to share? Please email it to social@med13l.org and we will help, since videos are usually too large to upload here.
Add at least one photo.

Add a caption or a little context (optional)

Anything you share here may appear with the photo where you consent below. Please do not include medical details. If you would like to share your family’s story with the community, we would love that, and we will follow up with you separately.

Your consent

These choices control exactly how the Foundation may use your photos. We will use them only where you tick.

We will never share your photos with a partner organization or the media without asking you first, separately, each time.
Tick at least one option, or choose archive only.
Please choose a name option.
Please confirm you understand and consent to this.

I consent to the MED13L Foundation using the materials I am submitting only in the places I ticked above, together with the name choice and any caption I provided. This consent is voluntary and I am not receiving any payment. My photos will be stored securely, with restricted access, for as long as my consent remains in place.

I can withdraw this consent at any time, free of charge, by emailing social@med13l.org, without affecting the lawfulness of use before my withdrawal. If I withdraw, the Foundation will stop all use of my materials, including further distribution of printed materials it still holds, will remove them from the website and social media channels it controls, and will delete them from its systems on request. I understand that copies already distributed to others cannot be taken back.

My choices here do not affect my family’s participation in any Foundation program, event, or research.

Please agree to the consent statement to continue.

Electronic signature

Typing your full name here acts as your signature on this consent.

Type your name to sign.

Thank you

The Foundation received your photos and your consent.

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