Social Media Photo Release Form

Social Media Photo Release Form

Fresh Complexions
Name

First Name Last Name
Age
Date of Birth

Month Day Year
Date
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
Can we use your name?

Complete name First name Nickname Anonymous
I authorize and grant Rita Krause/Fresh Complexions to take my photos regarding my experiences with them. I grant Rita Krause/Fresh Complexions permission to use my photos on Facebook, Twitter, Instagram, and other social media platform. I allow Rita Krause/Fresh Complexions to edit, alter, copy, or distribute the photos for social media advertising and marketing. I understand that I will not receive any monetary compensation.
Signature

Clear
Date Signed

Month Day Year
Date
Should be Empty:

Authorization, Release, and Consent