By clicking “SEND”, I acknowledge and agree to the use of my voice, image, or likeness in any advertising or public relations materials promoting OrthoArkansas locally, regionally, nationally, and/or internationally. I understand that my image or likeness may be edited, altered, distorted, or otherwise modified for the purpose of creating such materials. I also understand that submitting this form does not guarantee inclusion in any advertising or promotional materials. Furthermore, I acknowledge that there is no time limit on the validity of this consent and that my voice, image, or likeness may be used at an undetermined future date.