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Video and/ or Photo Release Form I, the undersigned, hereby grant New Life Health Food, Inc. (D.B.A. Barney's New Life, its representatives, employees, and agents the right to: Take photographs and/or video recordings of me for the sole purpose of advertising. Use these recordings, images, or audio in any format, including social media, websites, marketing materials, and advertising. Edit, alter, copy, exhibit, or distribute this media for any lawful purpose. I understand and agree that: I will not receive any payment or compensation for the use of my image, video, or voice. The media may be used in various formats without notifying me. Although New Life Health Food, Inc. will use my image and/or video with good intentions, I understand and acknowledge that the company is not responsible for any unauthorized reposts, sharing, or misuse of the content by third parties once published. I understand that New Life Health Food, Inc. will do their best to stop any inappropriate or misuse of my video content. My participation is voluntary, and I may revoke this consent at any time by submitting a written request to nlhealthchicago@gmail.com , which will apply only to future use. ** Please note that it is the responsibility of the individual submitting review videos to ensure compliance with any applicable age-related laws or platform requirements. We do not independently verify the age of individuals appearing in submitted content. I acknowledge that: I am at least 18 years old. I have read this release before signing, and I fully understand its contents. Full Name Your Signature Clear Today's Date * required Phone Number Do you want us to tag you on socials? Yes No IG TikTok Submit Submission Successful!

Information About Sea Moss Combinations *Please note: No matter which sea moss gel you choose, you will always get the basic benefits of sea moss! The fruit flavors main purpose is to give you the benefits of sea moss without the true taste Sea Moss Black Seed Burdock Bladderwrack Elderberry Matcha Moringa Shilajit Soursop Turmeric Ginger Other Flavors Mango Passion Mixed Berry Strawberry Peach

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