PHOTOGRAPHIC/VIDEO CONSENT AND RELEASE FORM
I ("Model") do hereby consent and agree that Vital Grace, LLC (a Georgia Limited Liability Company) (hereafter "Organizer"), along with its agents, representatives, heirs, and assigns, has the right to take or use photographs or record video of me and to use these in any and all media including online, now or hereafter known, and for any purpose whatsoever and I waive the right to inspect or approve such completed portraits, pictures, video, or advertising matter used in connection therewith. The name and identity of the Model will not be revealed to third parties.
I do hereby release to Vital Grace, LLC all rights to exhibit this work in print and electronic form publicly or privately and to market and sell copies. I wave any rights, claims, or interest Imay have to control the use of my identity or likeness in the photographs/video and agree that any uses described herein may be made without compensation or additional consideration of me. All negatives, prints, digital reproductions of the photo/video shall be the property of Organizer.
I hereby certify that I am over eighteen years of age and am competent to contract in my own name insofar as the above is concerned. If I am under eighteen years of age my parents have read this document and have given their consent by signing below.
I have read the foregoing release, authorization, and agreement, before affixing my signature below and warrant that I fully understand the contents thereof.