Video Consent Form: Wing Girl Method

Video Consent & Release Form

Without expectation of compensation or other remuneration, now or in the future, I hereby give my consent to The Wing Girl Method, its affiliates and agents, to use my image and likeness and/or any interview statements from me in its publications, advertising or other media activities (including the Internet).

This consent includes, but is not limited to: 

(a) Permission to interview, film, photograph, tape, or otherwise make a video reproduction of me and/or record my voice;

(b) Permission to use quotes from the interview(s) (or excerpts of such quotes), the film, photograph(s), tape(s) or reproduction(s) of me, and/or recording of my voice, in part or in whole, in its publications, on television, radio and electronic media (including the Internet) and/or in mailings for educational and awareness.

This consent is given in perpetuity, and does not require prior approval by me.