Photo Release & Upload Form
Date of Birth
Instagram Handle - If you would like to be tagged in the photo.
Street Address Line 2
State / Province
Postal / Zip Code
Authorization, Release, and Consent
Can we use your name?
I authorize and grant GroVia/The Natural Baby Co. to take my photos regarding my experiences with them.
I grant GroVia/The Natural Baby Co. to use my photos on Facebook, Twitter, Instagram, and other social media platform.
I allow GroVia/The Natural Baby Co. to edit, alter, copy, or distribute the photos for social media advertising and marketing.
I agree that the photos belong to GroVia/The Natural Baby Co.
I understand that I will not receive any monetary compensation or have made arrangements prior.
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Should be Empty: