Media Release Form

I hereby give Sana Lake Recovery consent to use my image and voice (in photographs, videos, audio recording, etc) to be used in the following ways:

• Company social media (all platforms)
• Print or digital employee newsletter
• Print or digital client customer newsletter
• Company website
• Company marketing: TV, Radio, Billboard, Print, Digital Ads, etc.

I further understand that no special compensation will be provided to me for use of my image or video and that I may not be informed in advance of the specific use of my image or video.


Type your name in the box to sign electronically.
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