Introduction

We appreciate your willingness to share your weight loss journey with us. This form is designed to ensure that you are aware of how your testimonial will be used.

Terms of Use:

I understand that my testimonial may be edited for clarity or brevity.

• I acknowledge that I am providing this testimonial voluntarily and without expectation of compensation beyond any incentives provided by Dr. Kasenene and Wellcare Limited.

• I confirm that I am at least 18 years old and have the legal right to provide this consent.

Confidentiality:

• I understand that my personal information will be kept confidential unless explicitly stated otherwise

in this consent

Consent

By writing my name and signature I hereby grant permission to Dr. Kasenene and Wellcare Limited to record and use my testimonial, including any video or audio recordings, photographs, and written

statements, for promotional purposes.