Are You Actively Battling Domestic Abuse?

I acknowledge that by submitting my survivor story to Break The Silence on Domestic Violence (BTSDV), I am granting them permission to use and publish my story online without regard to where it was previously published or quoted, such as news articles, personal social media and blog accounts, blog sites run by a third party curator, etc. I agree that BTSDV has complete ownership of this story, including the entire copyright, and may use the story for any purpose consistent with BTSDV’s mission. I also give BTSDV permission to use my name*, likeness, image, voice, story and/or appearance as such in any pictures, photos, video recordings, audiotapes, digital images, publications, and the like, taken or made on behalf of BTSDV UNLESS I answer "YES" to “DO YOU WISH TO REMAIN ANONYMOUS,” on the website, in which case BTSDV only has permission to use and publish my story.