I,

of

 grant permission to EMPOWER ME TRAINING to use, reproduce and communicate (in hardcopy or electronic format) any photographs, audio and/or video recordings taken of me on the date below, for the following purpose:

• EMPOWER ME TRAINING publications and promotional activities (including but not limited to EMPOWER ME TRAINING’s website and social media sites, promotional and marketing materials and student/client recruitment activities)

• EMPOWER ME TRAINING’s administrative and training purpose.

I acknowledge and agree that this may result in public disclosure of my image. 

Thanks for submitting!