Harmony Unlimited Photo Release Consent Form

Harmony Unlimited Photo Release Consent Form
I give to Harmony, and its designees and agents, unlimited permission to photograph, videotape, and record me; and, for Harmony and its designees and agents, permission to use, publish and republish in any form or media for any purpose, information about me, statements made by me, and reproduction of my likeness and my voice, with or without identification of me by name. If a minor’s image is used with mine or separately, and I am the parent or guardian of that minor, I sign this on behalf of myself and the minor.

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Full Name of Releasor *
If minors present, Name(s) of Minors I am also releasing
Address *

Street Address

Street Address Line 2

City State

Zip Code Country
Email *
example@example.com
Phone Number *

Area Code Phone Number
Country Code if not in the United States
I also understand the following *

I, as Releasor, shall not be compensated for the release of the photo(s)
I also understand the following *

No consultation is required for the release of the photo(s) identified herein
By Signing this form, I acknowledge that I completely understand all the undertaking.

I hereby authorize the release of the photos indicated herein. I understand that my image may be copied, edited, published or exhibited without my knowledge.

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Date Signed *

Month Day Year
Date
Signature (Please use your mouse or finger to sign below) *

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