Without expectation of compensation or other remuneration, now or in the future, I hereby give my consent to [Embrace Your Cake, LLC, Sisters Inspire Sisters, and Monique Denton-Davis], 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 (initial where applicable):
(a) Permission to interview, film, photograph, tape, or otherwise make a video production of me and/or record my voice;
(a) Permission to use my name; and
(a) Permission to use quotes from the interview(s) (or excerpts of such quotes), the film, photograph(s), tape(s), reproduction(s) of me, and/or recording of my voice, in part or in whole, in its publications, in newspapers, magazines, and other print media, on television, radio, and electronic media (including the internet), in theatrical media and/or in mailings for educational and awareness purposes.
This consent is given in perpetuity and does not require prior approval by me.
Founder & CEO
Port Washington, NY 11050