I hereby grant healing qi oasis permission to use my likeness in a photograph, video, or other digital media (“photo”) in any and all of its publications, including web-based publications, without payment or other consideration. the revocation will not affect any actions taken before the receipt of this written notification. images will be stored in a secure location and only authorized staff will have access to them. they will be kept as long as they are relevant and after that time destroyed or archived. I HAVE READ AND UNDERSTAND THE ABOVE PHOTO RELEASE. I AFFIRM THAT I AM AT LEAST 18 YEARS OF AGE, OR, IF I AM UNDER 18 YEARS OF AGE, I HAVE OBTAINED THE REQUIRED CONSENT OF MY PARENTS/GUARDIAN AS EVIDENCE BY THEIR SIGNATURES BELOW. I ACCEPT:
