Media Submissions

To help spread awareness of SMC1A it is important for SMC1A Foundation to share the patient story through a variety of methods. This includes bringing a face to the disease through photos and videos on our website, social media, brochures and other promotional materials. If you are interested in sharing your child’s photo(s), video(s), and/or story with us, please complete the form below.

Any questions on photo and video usage may be directed to info@smc1a-epilepsy.org. You can see examples of SMC1A Stories on our website here.

Photos and Videos

To submit photos or video clips for use on our website, brochures, social media, and/or other promotional materials, please complete the submission form below and upload your hi-res photo files (in jpg or png format) or video clips (not to exceed 2MB). You can also email your photos and videos to info@smc1a-epilepsy.org

Media Submission Form

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Name(Required)

First Last

Email(Required)

Child's Name(Required)

Main Photo Upload

Max. file size: 512 MB.

Please upload photos in jpg or png format. Video clips should not exceed 12MB. Please try to include your child's last name as part of the file name (i.e., smith_photo_1.jpeg)

Multiple Photo upload

Drop files here or

Max. file size: 512 MB, Max. files: 20.

Please upload photos in jpg or png format. Video clips should not exceed 2MB. Please try to include your child's last name as part of the file name (i.e., smith_photo_1.jpeg)

Video Clips

Max. file size: 512 MB.

Please upload photos in jpg or png format. Video clips should not exceed 2MB. Please try to include your child's last name as part of the file name (i.e., smith_photo_1.jpeg)

Tell us about yourself and the patient in your life(Required)

Examples: tell us about your family, where you live, what you like to do, what brings you joy, etc.

What is your hope for the future for your loved one?(Required)

Signature(Required)

I hereby grant permission to SMC1A Foundation and its agents or employees to use my child’s photo(s) and/or video(s) which I have submitted for publication in brochures, newsletters, display boards, social media accounts, and websites without notifying me. I also acknowledge that SMC1A Foundation may choose not to use my photo(s) at this time, but may do so at its own discretion at a later date. I understand that once my image is posted on the SMC1A Foundation website, the image can be downloaded by any computer user. Therefore, I agree to indemnify and hold harmless SMC1A Foundation, its agents, volunteers, and employees from any claims. I agree to waive and release any and all claims against SMC1A Foundation and its contractors and licensees relating to my name, my likeness, the photo(s) and their uses and/or distribution in any version or media throughout the universe, including without limitation, any rights and claims relating to royalties or compensation, editing, alteration, copyright, distribution, misappropriation, libel, false light, rights of privacy and/or publicity. SMC1A Foundation reserves the right to discontinue use of photos without notice. To request that your child’s photo(s) be removed from the website and/or other materials, please submit a written request by email to info@smc1a-epilepsy.org. I have read this release before signing below and I fully understand the contents, meaning, and impact of this release.