Social Media Photo Release Form

Social Media Photo Release Form
Name*

First NameLast Name
Birth Date

MonthDayYear
Email*

Confirmation EmailCopy of that form will be posted to presented email
Phone Number
Format: 000 0000 0000.
Address

Street Address

Street Address Line 2

CityState / Province

Post CodeCountry
Authorization and Release
What is your preference regarding the use of your name?

I consent to the use of my complete name.I consent to the use of my first name only.I consent to the use of my nicknameI consent to the use of my photographs anonymously.I would like to be tagged on attv.uk social media posts
Facebook
Instagram
Please check the boxes regarding your preference.*

I authorize attv.uk Tomasz Lewandowski to take my photographs.I authorize attv.uk Tomasz Lewandowski to use my photos on attv.uk website, Facebook, Twitter, Instagram, and other social media platforms.I authorize attv.uk Tomasz Lewandowski to edit, alter, copy, or distribute the photos for social media advertising and marketing.I agree that the photos all intellectual property rights of the photos belong to attv.uk Tomasz Lewandowski.I agree that I will not receive any monetary compensation for usage of my photographs in social media platforms.
Date Signed*

DayMonthYear
Date
Hour MinutesAM/PM Option
Signature*
Venue / Premises

Name

Street Address

CityCountry

Post Code
Behalf of Venue / Premises Manager

First NameLast Name
Date

MonthDayYear
Date
Hour MinutesAM/PM Option
Signature
Should be Empty:

Authorization and Release