Release Form

Project Title: The Mandeville Method Leadership Shadow Event Date: 03/19/25 Location: Impact Hub
417 5th Ave Suite 814, New York, NY 10016

I, the undersigned, hereby grant permission to The Mandeville Method to record and use my image and voice in video recordings. I understand that these recordings may be used for promotional, educational, and informational purposes.

I agree to the following:

Name
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