Testimonial Form

Thank you!

  • We will only use your first name and last name initial.
  • Date Format: MM slash DD slash YYYY
  • Optional
  • We would love to include a picture with your testimonial.

    Please email to [email protected] or text 573-204-1111
  • TESTIMONIAL RELEASE

    I hereby agree to participate in Academy Epic’s website as well as in any product sold as a result of their website, as a testimonial subject, to be used by “Marketer” to provide to its prospective and existing customers. I agree and understand that my participation as a testimonial subject in the above referenced website and product will be done with no compensation to myself in any form, at any time, now, or in the future. I hereby grant “Marketer” unrestricted use of my name, likeness, voice, pictures, in any audio or video tapes or other electronic media, any print media or in any other media in perpetuity with no compensation or remuneration in any form or in any manner for the above referenced website and product/s. In addition, I am stating that any testimonial information I am providing is based on my own experience, and that all my comments are true, and that I am not being compensated in any way for the use of my testimonial and have freely provided such testimonial without any expectation of or receipt of any compensation now, or in the future. Therefore, by submitting this online form, I agree to all terms and conditions as written above.