• Luxury Wash Release form

  • Consent for publication of photograph, artwork, videotape, film and/or verbal or written statements.


    I give my consent to Luxury Wash, and those whom Luxury Wash may authorize to photograph, film, and/or videotape me, and/or to use a photographic/digital reproduction of my likeness (with or without my brand name), to identify me by name and/or to quote or record statements made by me, for any editorial, promotional, advertising, trade, or other purpose whatever for Luxury Wash or and those whom they may authorize, shall have the rights to reproduce, distribute, and display publicly, including on the internet photographs, film, videotape, statements, and quotes covered by this release, and to prepare derivative works.


    I understand that Luxury Wash is not responsible for unauthorized duplication/use by and third parties. By signing this form, I certify that I have given permission to Luxury Wash Inc., and those whom they may authorize, to use images of me, and my likeness, for company and distribution purposes without the expectations of any additional monetary gains other then what has been agreed upon equally the amount of 

  • By agreeing to this you will be sent half as an deposit agreeing that you are available for date.

  • Project Title                                 : “Wash Wars 


    Description of Project                 : “Social Media Version 

  • Clear
  •  - -
    Pick a Date
  • Should be Empty:
Jotform Logo
Now create your own Jotform - It's free!Create your own Jotform