Media Release

Media Release form

  • I, (Fill out Legal Name above) hereby grant permission to Aculign and its representatives, to take and use: audio recordings, videotape and/or digital images in a promotional manner. These mediums may include televised broadcasts, printed or electronic publications and website. Furthermore, I agree that my name may be acknowledged by text and/or commentary in all recordings and images.
  • Date Format: MM slash DD slash YYYY