Media Consent Form
I, the undersigned, hereby grant Lift Performance and Rehabilitation Clinic permission to photograph and/or film the person (as signed below) for use of videos, photos, and other promotional materials on the Lift Clinic website and other media platforms. I understand that these materials may be used to promote Lift Clinic’s mission, services, and community engagement.
I acknowledge that I will not receive compensation or other consideration for the use of my image, likeness, or any quotes attributed to me. By signing this consent form, I release Lift Clinic from any and all liability related to the use, publication, or distribution of these materials.