Client Photo Release Form

Client Photo Release Form
Name*

First NameLast Name
Birth Date

MonthDayYear
Gender
Phone Number
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
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.
Please check the boxes regarding your preference.

I authorize G + g Salon to take my photographs.I authorize G + g Salon to use my photos on Facebook, Instagram, YouTube and other social media platforms as well as print media platforms.I authorize G + g Salon to edit, alter, copy, or distribute the photos for social media advertising and marketing as well as print media advertising and marketing.I agree that the photos all intellectual property rights of the photos belong to G + g Salon.I agree that I will not receive any monetary compensation for usage of my photographs in social media platforms as well as print media platforms.
Signature

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Date Signed

MonthDayYear
Date
Should be Empty:

Authorization and Release