Client Testimony /Photo Authorisation and Release Form

I understand my testimony, made on behalf of Empower Wellness Coaching, LLC, may be used in connection with publicizing and promoting Empower Wellness Coaching, LLC.



I authorize Empower Wellness Coaching, LLC, to use my name, photograph, brief biographical information and testimonial.


I grant Empower Wellness Coaching, LLC, its representatives and employees the right to use my name, photograph, brief biographical information and testimonial in various marketing initiatives. I understand that this information may be used in various mediums for such purposes as publicity, illustration, advertising, web content and social media.


I authorize Empower Wellness Coaching, LLC, to copyright, use and publish these materials in both print and electronic formats for purposes of publicizing Empower Wellness Coaching, LLC.


In addition, I waive any right to inspect or approve the finished product wherein my likeness or my testimony appears. I agree that I will make no monetary or other claim against Empower Wellness Coaching, LLC, for the use of my name, photograph, brief biographical information and testimonial.


I have read, understood and agreed to the above.


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