Publicity and Photo Consent Form
I do hereby grant permission to the [SMARTstart Program Provider Name] (owner of the SMARTstart Program), its agents and others working under its authority, full and free permission to use of my name, business name, general business details, likeness, image, voice, and/or appearance as such may be embodied in any photos and video recordings, for promotional purposes, news, research and/or educational purposes online, in-person and in print.
I hereby release, discharge, and hold harmless the [SMARTstart Program Provider Name] and its agents from any and all claims, demands, or causes or action that I may hereafter have by reason of anything contained in the photographs or video.
I do further certify that I am of legal age or possess the full legal capacity to execute the foregoing authorization and release.