I authorize Ocean Bloom to use my name, brief biographical information, and the testimonial as defined on this form.  I hereby irrevocably authorize Ocean Bloom to copy, exhibit, publish, or distribute the testimonial for purposes of publishing Ocean Bloom’s programs or for any other lawful purpose. These statements may be used online on website or any other distribution media.

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I have read the authorization and release the information and give my consent for the use as indicated above.