Social Media + Website Photo Release Form
Name
*
First Name
Last Name
Age
*
Date of Birth
*
-
Month
-
Day
Year
Date
Gender
Please Select
Male
Female
Prefer not to say
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Authorization, Release, and Consent
Do you authorize The Print Shop 4U the use of photos of you or printed products with photos of you on them to be used on social media platforms, their website https://theprintshop4u.com/, and for marketing purposes?
*
NO. I do not grant The Print Shop 4U to publish any product samples on any social media platforms or their website with photos of myself in them or any photos of printed products with me on them.
YES. I grant The Print Shop 4U to use my photos on Facebook, Twitter, Instagram, and other social media platform and their website https://theprintshop4u.com as well as marketing purposes. I understand that I will not receive any monetary compensation.
Can we use your name? (Only required if you checked YES, above)
Complete name
First name only
Nickname
NO, I want to be left anonymous
Who is filling out this form?
*
Myself. When signing I am consenting that I am over the age of 18 years old.
Parent/Guardian consent for a minor or person under the age of 18 years old.
Signature
*
Date Signed
*
/
Month
/
Day
Year
Date
Submit
Should be Empty: