# Optional photo & testimonial permission — draft for review

**Use a separate, optional release.** Do not make training conditional on agreeing to publicity. Have a California attorney review before use, particularly if offering a discount or other incentive for a testimonial.

Client name: _____________________________________ Date: ______________

I give Yury Shirokov Personal Training permission to use the items I select below to describe its services and promote the business:

☐ My written testimonial below  
☐ My first name only with testimonial  
☐ My full name with testimonial  
☐ Photo(s) or video(s) showing me  
☐ Voice recording / interview

Approved quote or description (client to review exact wording):

____________________________________________________________________

____________________________________________________________________

Allowed channels (check all that apply):

☐ Business website  
☐ Social media: ______________________________  
☐ Printed marketing material  
☐ Other: ____________________________________

This permission is voluntary and separate from my training agreement. I may decline. I may revoke future use by writing to **[business contact email]**. I understand material already printed, shared, or reposted may not be fully retrievable, and revocation does not retroactively undo use made before notice. The trainer will not knowingly materially edit my quote or portray my results as typical. No compensation is provided unless written here: __________________.

Client signature: __________________________________ Date: ______________

Parent/guardian signature if applicable: __________________ Date: ______________

Trainer signature: _________________________________ Date: ______________